PAYMENT

BAD BOARDERZ

PREMIER RECREATION GROUP

REGISTRATION . PAYMENT FORM

CHECK . CASH . CREDIT CARD

PRINT & FILL OUT FORM COMPLETELY

TRIP LEADER NAME: _________________ NAME OF TRIP: __________________

TRIP DATE: _____/_____/_____ LOCATION: _________________________

~Please PRINT clearly to ensure legibility.

~Fill our form completely; do not omit ANY information.

~Be sure to keep a copy of this form for your records.

~Please contact us for arrangements to mail or drop off your payment & form.

~Please call 310-413-3710 or e-mail: badboarderz@rocketmail.com.

STRICTLY CONFIDENTIAL INFORMATION

......................................................................................................................

Please include the following information:

Traveler's Full Name: ________________________________________________

FIRST LAST

Traveler's Phone: ( _ )____________________( )_____________________

CELL HOME/WORK

Traveler's Emergency Contact Persons Name: __________________________

Traveler's Emergency Contact Persons Phone #: ( _)_________________

1. Traveler's Address: ________________________________________________

City: _______________________________State:_________ Zip:______________

2. Signature: ________________________________________________________

3. Driver's License #:_________________________ Exp Date:____/____/_____

4. Current E-mail Address: ____________________________________________

CHECK, CC or CASH PAYMENTS - FILL ALL INFO ABOVE & BELOW COMPLETELY.

CHECK #:_______________________________________

CREDIT CARD #: ________________________________ EXP DATE: _____________

(MC) (VISA) (DISCOVER) (AMEX)

CHECK AMT: ____________ (CIRCLE ONE) DEPOSIT PAYMENT / FULL PAYMENT

CC AMOUNT: ____________ (CIRCLE ONE) DEPOSIT PAYMENT / FULL PAYMENT

CASH AMT: _____________ (CIRCLE ONE) DEPOSIT PAYMENT / FULL PAYMENT

THOSE WHO ARE YOU PAYING FOR: Please provide, full name, phone #, e-mail and bus selection of each person this payment is being made for. Please include yourself on 1st line of the Group Payment Page.

FULL NAME

PHONE & E-MAIL

.
LV SLOPE CITY
FULL TRIP &
RT PARTY BUS
LODGING & PARTIES
$250 P/P

LV SLOPE CITY

TRIP/NO BUS
DRIVE UP'S
LODGING & PARTIES
$175 P/P

EARLY BIRD RATE
WEEKEND
PARTY
PACKAGE
PARTIES ONLY
$40 P/P

1.

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2.

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TOTAL
$_______

TOTAL
$_______

TOTAL
$_______

REFUND POLICY: In order to be considered for a trip, a deposit must be submitted to a BAD BOARDERZ Trip Leader/Representative. Names will be recorded on a trip list in the order in which monies are received. Deposits will be accepted from the date that the trip opens. DEPOSITS ARE NON-REFUNDABLE AFTER 7 DAYS of receiving payment.

FULL PAYMENTS ARE NON-REFUNDABLE ONLY TRANSFERABLE.

IF FULL PAYMENTS ARE NOT MADE BY DUE DATE YOU WILL LOSE YOUR DEPOSIT AND ALL DEPOSITS ARE NON-REFUNDABLE. YOU WILL BE PLACED ON A STANDBY LIST. THIS LIST DOES NOT GUARANTEE YOU A SPOT. YOU WILL BE SUBJECTED TO PAY THE FULL CURRENT TRIP PRICE OR ANY LATE FEES.

CANCELLATION POLICY:

For Cancellations: All payments are nonrefundable. Trip is transferable to another person if you are unable to attend.

MAKE ALL CHECKS OR MONEY ORDERS PAYABLE TO: BAD BOARDERZ

NOTE: PERSONAL OR COMPANY CHECKS TAKE 7 - 14 BUSINESS DAYS TO CLEAR.

FOR MAILING OPTIONS - MAIL CHECKS TO:

BAD BOARDERZ

3435 OCEAN PARK BLVD. SUITE 107

UNIT 376

SANTA MONICA, CA 90405

www.badboarderz.com

ALL TRIP PARTICIPANTS MUST READ AND SIGN A TERMS & CONDITIONS FORM

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