MAMMOTH LAKES PACK OUTFIT

P.O. Box 61, Mammoth Lakes, CA 93546

888-475-8747 760-934-2434

HORSE DRIVE RESERVATION FORM

$1060.00 per person

TRIP DATE:____________________________

NAME:___________________________________________________________________________________

ADDRESS:________________________________________________________________________________

CITY:___________________________________________STATE & ZIP:_____________________________

HOME PHONE:_____________________________ALTERNATE PHONE:____________________________

EMAIL:__________________________________________________________________________________

NUMBER OF PREVIOUS HORSE DRIVES:____________

Age__________ Height__________Weight__________

Riding Experience (circle one): Advance Intermediate Beginning

Personal Saddle (circle one): Yes No

Circle Which Ride You Are Sending the $350 Per Person Deposit For:

Spring June 12-17 2010 Fall Sept 25-30 2010

Amount enclosed $___________________