New River Whitewater Rafting
West Virginia

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RECORD FORM

RIVERMEN WHITEWATER
PO Box 360 Fayetteville, WV 25840 1-800-545-RAFT
Name / Address / Phone
TOTAL DUE
14-Day Deposit
Balance
Amount
Paid
Amount
Paid
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
           
 
 
Confirmation Number:
Booking Date: Activity Date: Activity/River:
14-Day Deposit Due: ($40/ea) Balance Due:  
Print and make copies to help organize your group.
website: www.rivermen.com - email: raftinfo@rivermen.com