Wild River Country 2004 Season Pass Order Form

Please Print Legibly
Order Season Passes (Ages 2 & under FREE)
Number
Price with tax
Total
Gold Season Pass (ON SALE $44.99 plus tax) ______ x $49.10 ______
Individual Season Pass (ON SALE $34.99 plus tax) ______ x $38.19 ______
Transferable Guest Pass (ON SALE $49.99 plus tax) ______ x $54.55 ______
GRAND TOTAL ______
 
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 ________________________________________________________________

MAIL TO:
Wild River Country, P.O. Box 1740, North Little Rock, AR 72115
or FAX TO:
(501) 753-0277
or DELIVER TO:
Wild River Country, 6820 Crystal Hill Road, North Little Rock, AR
Sale prices good trough September 1, 2003.

Orders must be received on or before September 1, 2003.

© 2003-2004 Wild River Country - All Rights Reserved.