PORTERFIELD'S CRUISIN' OLDIES TICKET & CAMPING ORDER FORM
PRINT OUT AND MAIL TO:

Ticket Pricing -------------- Weekend ------------------ Daily

Prior to 2-1-12 ---------------- $45.00 ------------------- $35.00
Prior to 5-1-12 ---------------- $50.00 ------------------- $35.00
Prior to 6-1-12 ---------------- $55.00 ------------------- $35.00
Prior to 7-1-12 ---------------- $60.00 ------------------- $35.00
After.....7-1-12 ---------------- $65.00 ------------------- $35.00

 Porterfield Country, Inc.
PO Box 39
Porterfield, WI
54159

# Daily Tickets _______ x $_______ = _______________
# Weekend Tickets _______ x $_______ = _______________
#

Reserved Campsites

 _______ x $_______ = _______________
# Preferred Parking _______ x $_______ = _______________
Handling Fee +$5.00
Total Amount Enclosed _______________

Name________________________________

Address______________________________

City_________________________________

State______________ Zip _________

Phone___________________________ Date______________

Email: _______________________________________

Method Of Payment
(Check One)		 (__)Check / Money Order
(__)Mastercard (__)Visa (__)Discover
Name On Card : _______________________________________  
Credit Card Number: _______________________________________ CVC: ______
Card Expires: _______ Signature ______________________________