Visit Cuba with the Center for Global Justice

How many people are you registering? *

Registration Info

First Name

Last Name

Email Address *

June 22 Cuba Trip Deposit *

Deposit - $ 300.00

Total for this participant

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *