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Trip Application Form



If you want to have the adventure of the year..., print and fill out this form, and mail it with your non-refundable deposit of $25 to reserve a spot on the trip.
(Refunds given if trip is filled or cancelled!)
Upon acceptance of your application your deposit is credited to your account. All reservations and payments must be recieved by June 1st, 2004.

Contact Monday Creek for more information.

Trip#______ Trip#______ Trip#______

Name_____________________________

Address______________________________

______________________________

Phone Number (____)_________________________


Age______ Height_______ Weight_______

Contact Person_____________________________________

Contact Person Phone Number____________________________________



Send To:
Monday Creek Adventure Co.
11888 Gore-Greendale Rd.
Logan, Ohio 43138-9189