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Register for Civil Rights Bus Tour

Please complete the form below to register for The Sixth Point's Civil Rights Bus Tour on Sunday, November 19, 2017.

Your Info

Name

First Name

Last Name

Verify Email

Address (it's fun to get mail!)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Call me, maybe

Date of Birth

Don't expect a cake.

Payment Amount

$10 - one adult

$20 - two adults

Additional Guest's Name

First Name

Last Name

Additional Guest's Email

Verify Email

How did you hear about the Civil Rights Bus Tour?

Check all that apply.

Facebook

Friend

Other

OPTIONAL: Add 3% to my total amount to help cover the payment processing fees.