Select what Ride you are Registering for:
September 2012
Name:
Street Address:
Address:
City:
St:
Zip:
Saturday & Sunday
Adult Riders
# of People
× $95 each =
0
Adult non-Riders
# of People
× $65 each =
0
under 12 Rider
# of People
× $55 each =
0
Saturday Only
Adult Riders
# of People
× $65 each =
0
Adult non-Riders
# of People
× $50 each =
0
under 12 Rider
# of People
× $45 each =
0
Sunday Only
Adult Riders
# of People
× $45 each =
0
Adult non-Riders
# of People
× $20 each =
0
under 12 Rider
# of People
× $30 each =
0
Sub Total
0
Pens: $8 per night for 1 horse (while they last):
# of Pens
# of Nights
Pen Total:
0
What type of campsite will you need? (Prices per night)
Water & Electric ($25)
Electric Only($20)
Dry Camping ($7)
# of Camp Sites
# of Nights
=
Camp Total:
0
Mail form to:
Amana Trail Ride
Grand Total:
0
10908 212th Ave
Deposit Due:
0
Anamosa, IA 52205
Balance:
0
Do you need a map sent to you?
Yes
No
List any names you would like to camp close to:
Payment Policy
Deposit of 25% due with registration.
Cash, Money Order, & Checks only.
NO CREDIT CARDS
No refunds or transfers two weeks prior to ride