SOURDOUGH WILDERNESS RANCH
Secure Payment Form
Order Summary
Order Date
Order Amount
Annual Dues: $400
ATV Plate: $30 each
Guest Fishing Pass: $10 per pole (example 4 pole pass $40, 6 pole pass $60)
Guest Pass $10: Write "paid online" on fee envelope and drop in box. You still must sign the guest book
Private Outhouse $362
Other: Trailer Fee, Property Tax, Hunting Permits, 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
Number of Fishing Passes
Number of Guest Passes
Processing Fee
Total Amount
Name, Lot Location and Camp Site #
*
Credit Card Information
Name as on Card
Card Number
Card Expiration Date
CVV2/CID
Email Address
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