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SOURDOUGH WILDERNESS RANCH

Secure Payment Form

Order Date
Order Amount
Yearly Annual Dues $400
ATV Plate $30
Fishing Pass 5-Pole $10
Fishing Pass 10-Pole $20
Guest Pass $10 -Must print off receipt for this & place in guest fee envelope to show proof of purchase, as well as sign in the guest check in book, and hang guest pass from rear view mirror.
Other (Property tax, hunting permits, outhouses, storage lot, Sourdough days meals/raffle) Please specify in memo what other is for
Postage Fee
$5.00- To have ATV plates shipped
Memo-Please Specify what paying for *
Processing Fee
Total Amount
Name, Lot Location and Camp Site #
Name as on Card
Card Number
Card Expiration Date
CVV2/CID
Email Address