To order Season Passes from home, visit www.wildrivercountry.com/corporate
or use this form to order by mail.

Wild River Country 2004 Corporate Season Pass Order Form Deadline March 5, 2004

MAIL TO:	Wild River Country, P.O. Box 1740, North Little Rock, AR 72115
or FAX TO:	(501) 753-0277
QUESTIONS:	(501) 753-8600 (No corporate phone orders)

Please Print Legibly
Order Season Passes (Ages 2 & under FREE)	Sale Price	Number		Price w/ tax	Total
Individual Season Pass (Reg.$89.99 plus tax)	$44.99	______	x	$49.10	______
Gold Season Pass * (Reg.$99.99 plus tax)	$54.99	______	x	$60.01	______
*Included: Individual Season Pass, Season Tube Rental, Season Locker Rental
Transferable Guest Pass ** (Reg.$109.99 plus tax)	$59.99	______	x	$65.46	______
**Transferable Guest Pass must be purchased with one or more individual passes. The guest must enter the park with one of the corresponding individual numbered passes.
		GRAND TOTAL			______

Company Name: UAMS

Name of Purchaser____________________________________________________________________________

(Individual pass holder names not required.)

Mailing Address ______________________________________________________________________________

City ________________________

State ___

Zip __________

Phone # _______________________

PAYMENT	[ ] Cash	[ ] Check	[ ] Credit Card
Please charge to my:	[ ] Visa	[ ] MasterCard	[ ] American Express	[ ] Discover
Name On Card ___________________________________________________________
Card number ___________________________ Expiration Date _____________________
Signature ________________________________________________________________

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