PLEASE print this form, fill it out, then mail it to the address at the bottom of this page. Thank You!

Name __________________________________________________________

Address_________________________________________________________

City, State, Zip____________________________________________________

Telephone # _________________ River ____________________# in Party ____

Put-In __________________________ Date _____________ Time __________

Take-Out________________________ Date_____________ Time__________

Reservation Deposit Required

$20 per Canoe................................................................................ = $________

$20 per Kayak................................................................................ = $________

$50 for KO Transportation.............................................................. = $________

$25 for KO Shuttle of your vehicle................................................... = $________

TOTAL SENT................................................................................ = $________

Will you need any other equipment? _________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Do you want notification of confirmation? _____YES_____NO, will confirm later by phone.

Notes

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