Field Trip Invoice Form

Field Trip Invoice Form
INVOICE
www.theartscorner.org

Phone: 904-521-1870
Contact : V. Davis
Date *

Month Day Year
Date
Bill to: *

First Name Last Name
Company Name *
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Choose your group size

	Quantity	Total
1-25 children ($15)
26-99 children ($12)
100+ children ($10)
Offsite Transportation fee ($45)
Offsite Setup fee (varies)
Final total

Calculation
My Products

prev next ( X )
USD Description

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty: