SOURDOUGH WILDERNESS RANCH
Secure Payment Form
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Order Summary
Order Date
Order Amount
Annual Dues: $400
ATV Plate: $30
Guest Fishing Pass: $10 each guest fishing. Please put first & last name of fishing guest in memo line. **If buying multiple guest's, use other box for total along with memo box & list first, last names of each guest to be listed on pass.
Guest Pass $10: Must print off receipt for this & place in guest fee envelope as well as sign in the guest book.
Other:Trailer fee, Property tax, hunting permits, outhouses, storage lot, Sourdough days meals/raffle. Please specify in memo what other is for.
Postage Fee
Postage: $5.00 To have items mailed.
Other Amount
Memo-Please Specify What For
*
Number of ATV Plates
1
2
3
4
Vin, Year, Make, Color #1
Vin, Year, Make, Color #2
Vin, Year, Make, Color #3
Vin, Year, Make, Color #4
Processing Fee
Total Amount
Name, Lot Location & Camp Site #
Credit Card Information
Name On Card
Card Number
Card Expiration Date
CVV2/CID
Email Address
Submit
