Housing request for riders (pre-paid)

This form is for riders/visitors who did not pay through the website (the only official channel for RAGBRAI Mason City housing applications), but for whatever reason sent their payment through the Main Street Mason City office instead.  Filling out this form will put these riders/visitors back into our normal housing application system and ensure their information is not lost in the shuffle.  

Please note that we will be double checking that we have already received payment, and that invalid wristband numbers will not be processed.  If you have any questions please email ragbrai.mc.housing@gmail.com.

Thank you.

 

Contact Person's Name *
Contact Person's Name
Address
Address
Phone
Phone
Application will not be processed without valid wristband numbers. Showing up with more people than listed voids housing request.