Cardiff School District

:: Student's Information: * Required

Student's First Name:*:

Student's Middle Name::

Student's Last Name*:

Student's School:*:

:: Bill Payer's Information:

First Name:*:

Last Name*:

Address*:

City*:

State*:

ZIP:*:

Phone Number :

xxx-xxx-xxxx

Email Address*:

Choose Field trip by teacher's name:

+ $ 1.50 Convenience Fee.

If this value is ZERO, please enter the cost for the Field Trip as supplied to you by the appropriate teacher. The convenience fee of $ 1.50 will be added automatically to your total.

= Total:

$

Comments:

:: To finish your order, choose a payment method & click on the button below:

Payment by Check Payment by Credit Card

Field Trip Payment Form
*:: Student's Information: Required**
Student's First Name:*:
Student's Middle Name::
Student's Last Name*:
Student's School:*:
:: Bill Payer's Information:
First Name:*:
Last Name*:
Address*:
City*:
State*:
ZIP:*:
Phone Number :	xxx-xxx-xxxx
Email Address*:

Choose Field trip by teacher's name:	+ $ 1.50 Convenience Fee. + $ 1.50 Convenience Fee.
	If this value is ZERO, please enter the cost for the Field Trip as supplied to you by the appropriate teacher. The convenience fee of $ 1.50 will be added automatically to your total.
= Total:	$
Comments:
:: To finish your order, choose a payment method & click on the button below: Payment by Check Payment by Credit Card