2013 PORTERFIELD'S CRUISIN' OLDIES TICKET & CAMPING ORDER FORM - PRINT OUT AND MAIL TO:
Porterfield Country, Inc.
PO Box 39
Porterfield, WI
54159
Ticket Pricing -----Weekend ------Daily Prior to 2-1-13 ----- $55.00 ---------$40.00 |
|---|
| # | Daily Tickets | _______ | x | $_______ | = | _______________ |
| # | Weekend Tickets | _______ | x | $_______ | = | _______________ |
| # |
Reserved Campsites |
_______ | x | $_______ | = | _______________ |
| # | Preferred Parking | _______ | x | $_______ | = | _______________ |
| Handling Fee | +$9.00 | |||||
| Total Amount Enclosed | _______________ |
Name____________________________________________ Address____________________________________________
City_________________________________State______________ Zip _________
Phone___________________________ Date______________
Email: _______________________________________
Method Of Payment
(Check One)(__)Check / Money Order
(__)Mastercard (__)Visa (__)DiscoverName On Card : _______________________________________ Credit Card Number: _______________________________________ CVC: ______ Card Expires: _______ Signature ______________________________