Wild River Country 2004 Season Pass Order Form
Deadline May 15, 2004
MAIL TO:
Wild River Country, P.O. Box 1740, North Little Rock, AR 72115
or FAX TO:
(501) 753-0277

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) $79.99 ______ x $87.99 ______
 
Gold Season Pass * (Reg.$99.99 plus tax) $89.99 ______ x $98.99 ______
*Included: Individual Season Pass, Season Tube Rental, Season Locker Rental
 
Transferable Guest Pass ** (Reg.$109.99 plus tax) $94.99 ______ x $104.49 ______
**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 ______

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 _____________________
 
Company Name ______________________________________________________________________________
 
Signature ________________________________________________________________


Sale prices good through 5/15/2004.
Orders must be received before the close of business on 5/15/2004.
© 2003-2004 Wild River Country - All Rights Reserved.