STA Summer Field Day 2023

Please use the following STA Summer Field Day 2023:

NOTE: Billing address MUST be the mailing address used for the credit card.

First Name *

Last Name *

Billing Address *

Province/State *

BIlling Postal Code *

Country *

Main Phone *

Email *

$60 member

$100 non member

Total Amount

Payment method

Credit Card

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Anti-Spam Verification*