Tour Payment | Racine Art Museum

Group Tour Payment
Tour Group Name:*
Name*

First NameLast Name
Phone Number*

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

MonthDayYear
DateHourMinutesAM/PM Option
Type of Tour:*

Docent-led tourSelf-guided tour
Additional Notes:

Group Type and Fee:*

Children/Students within Racine County $ Free

Quantity
Item subtotal:$0.00

Children/Students outside Racine County$5.00

Price is per child/student.

Quantity
Item subtotal:$0.00

Adults (Mixed Ages)$7.00

Price is per person.

Quantity

Seniors Only (62+)$5.00

Price is per person.

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: