Adventure River Center

Order Form

Name: __________________________ Today's Date: _________________

Mailing Address: _______________________________________________

City: _______________ State: ________ Phone #: ____________________

Date of Trip: _________________ Picture #'s: _____ ______ ______ ______

Description of watercraft (color, raft/kayak/canoe, # of passengers): _________

_______________________________________________________

[_] CD [_] Print (please check one)

Total cost of pictures: ___________ (see price guide)

Add shipping cost: ___ 2 . 0 0 __

Total order cost: ___________

[_] Check [_] Money Order (please check one) (make out to Adventure River Center)

Signature: __________________________

Comments:

Attn: McKenzie River Photos

49701 McKenzie Highway

Finn Rock, OR 97488