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PLC:

a006i6

Agency:

pascua yaqui tribe

For:

2026 enrollment e t c conference

Phone:

520-879-6242

Address:

7474 s. camino de oeste
tucson, arizona 85757

*Required Field

Payment Information

*Name:

Middle:

*Last:

Event Dates: December 8 - 10, 2026

Location: Casino Del Sol Resort, Tucson, AZ

*Registration Cost:

Payment Amount

Enter Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number: