Secure Payment Form

Order Date
Order Amount
Yearly Annual Dues $300
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, Sourdough days meals/raffle-Please specify in memo what other is for
Postage Fee
$5.00- To have ATV plates shipped
Memo-Please Specify *
Processing Fee
Total Amount
Name, Lot Location and Camp Site #
Name as on Card
Card Number
Card Expiration Date
Email Address