Registration Form for RailNation: Tucson

Registration

3-Day General Admission$300.00

Qty

Sub Total$0

Advocacy Workshop$50.00

Qty

Sub Total$0

Fri & Sat Virtual Admission$270.00

Qty

Sub Total$0

Contact Info

First Name

Last Name

Country

Address 1

Address 2

Postal Code

City

State/Province

Phone Number

Email Address

Yes, I would like to receive email communications.Yes, I would like to receive email communications.

Employer

Job Title

Dietary

Do You Have Any Dietary Restrictions?

Payment

Promo

Card Number

Card Type

Expiration Month

Expiration Year

Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Address 1

Billing Address 2

Billing Postal Code

Billing City

Billing State

Billing Country

Submitting this form means you agree to follow the Rail Passengers Association Code of Conduct

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