BITTERROOT RANCH - RESERVATION FORM

P.O. Box 807 - Dubois, Wyoming 82513
Phone: 800-545-0019 or 307-455-3363 | Fax: 307-455-2354
PLEASE COMPLETE, SIGN AND RETURN BY MAIL OR FAX

Name: Mr./Mrs./Miss/Ms:

Address 1:

  

Phone (Home):

  

2:

  

Phone (Work):

  

City/State/Zip:

  

Fax:

  

Ranch Dates:

  

Email Address:

  
Age Height Weight
200#
Maximum
     

Please rate your riding ability:
(circle one)

Novice
Intermediate
Strong Intermediate
Advanced

Occupancy:

[    ] Single
[    ] Double
[    ] Twin (Share)
  Ride Per
Month		 Lessons
Per Month
Western    
English    
Trail Rides    
Dressage    
Hunting    
Jumping    
Eventing    
Other    
How long have you been riding?


  
How often do you ride? 
 

 
Type of horse of preferred:

 
 

Please describe your level of fitness and weekly physical activities:

  
 

Is there anything in particular you are working towards on this holiday?

  
 

Special Considerations: (Dietary Restrictions, Allergies, etc)

  
 

Where did you hear about us?

  

Travel companion(s):

  

In the event of an emergency, name and phone or FAX of who should be contacted:

  

REFUND POLICY: Deposits are not refundable. We will refund 50% of a final payment if notice is given 31 days or more before the trip begins. No refunds will be given for cancellations thirty days and under.

I understand that if my statements are not true, my reservation may be subject to adjustments or cancellation.
All information provided in this reservation is accurate and current.
My signature to this reservation form confirms my understanding and agreement with the terms therein.

Date_____________________________________Signature____________________________________

Payment:

[    ] $600 deposit per person*
[    ] Full Payment
*An invoice for the total amount due on a ride will be mailed 70 days prior to your arrival at the ranch.

Bitterroot Ranch accepts personal checks, money orders or travelers checks as payment. To pay by credit card,complete the information below:

[   ] Visa
[   ] MasterCard
[   ] Discover

Name:

  

Card Number:

  

Expiration Date:

   Security Code: