River Rage (June 15-17, 2012)
Name:_______________________________________
Phone Number:________________________________
Email Address: ________________________________
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Total |
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Rafting Package |
Rafting, 2 Nights Camping, Meals, Parties, Prizes |
_____ @ $180 |
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Non-Rafting Package |
2 Nights Camping, Meals, Parties, Prizes |
_____ @ $100 |
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Extra Nights Camping |
Wed and/or Thurs |
_____ @ $10 |
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Total: |
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*Please list all attendees, amount paid, and email if paying for more then 1 person: (i.e. Jan Brady-$186 jan@aol.com) Thanks!
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Related group, club, Meetup:___________________________________
MAIL IN THIS FORM and make Checks Payable To:
Paddles, Poles & More, Inc.
11128 Sedgemoor Lane
Charlotte, NC 28277