Tour Payment | Racine Art Museum

Group Tour Payment
Group Tour Number *
Tour Group Name: *
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email Address: *
Confirmed Date/Time of Tour

Month Day Year
Date Hour Minutes AM/PM Option
Type of Tour: *

Docent Led Tour Self-Guided Tour
Additional Notes:

Group Type and Fee: *

Children/Students within Racine County Free

Quantity

Children/Students outside Racine County $ 5.00

Quantity

Adults $ 7.00

Quantity

Seniors (62+) $ 5.00

Quantity

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: