SiriusXM for COPA Members

Name
First Last
Phone
Address (No PO Boxes - delivery address only)*
Street Address Suite/Apt Number City Province Postal Code
Email
Date of Subscription Activation*
MM slash DD slash YYYY
Receiver Radio ID#*
COPA Membership*
- Yes, I want to join COPA
- Yes, I want to renew my COPA membership
COPA Membership Number (If Applicable)
CAPTCHA

Name
First Last
Phone
Address (No PO Boxes - delivery address only)*
Street Address Apt/Suite Number City Province Postal Code
Email
Date of Purchase*
MM slash DD slash YYYY
Retailer Name and Receipt Number*
Please Upload a Copy of Your Receipt*
Max. file size: 40 MB.
Receiver Radio ID #*
COPA Membership*
- Yes, I want to join COPA
- Yes, I want to renew my COPA Membership
COPA Membership Number (If Applicable)
CAPTCHA

Eligible Hardware
Garmin	Garmin GDL 69/69a SXM	Garmin GDL™ 51/52, GDL™ 51R/52R, GXM 42	Garmin G3X Touch, GDU 455/465