MAMMOTH LAKES PACK OUTFIT

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

(760) 934-2434 (888) 475-8747

2010 HORSEBACK VACATION RESERVATION FORM

Date to be determined

NAME:___________________________________________________________________

ADDRESS:________________________________________________________________

CITY:____________________________________ STATE & ZIP:____________________

HOME PHONE:______________________ OTHER PHONE:________________________

EMAIL:___________________________________________________________________

AGE __________ HEIGHT__________ WEIGHT__________

Riding Experience (CIRCLE ONE): Advance Intermediate Beginning

Personal Saddle (CIRCLE ONE): Yes No

Total Price call for price per person Deposit $250 per person

Amount enclosed $ ______________