Application for Groups, Parties,

& Crux Rental

FORM 300

Group Name/Contact person:______________________________________________________

Address:______________________________________________________________________

City, State, & Zip_______________________________________________________________

Phone ( ) _______ - ________ Fax _______ - ________

Event date requested: ______________________________________

Event time period requested: _______________________ AM or PM

Event climbing fees:
Party/Groups (Form 600)

A.Number of Registered Crux Climbers14+ Adults____ x $9 = _________
Child____ x $9 = _________
B.Number of 417 climbers ....................................____ x $9 = _________
C.Number of training............................................____ x $10 = _________
Total:_________

Crux Rental (Form 500)

A.Number of hours.........................................____x $150/hr =_________
B.Number of climbers/belayers...............................____ x $8 =_________
C.The greater of A or B ($150.00 minimum)...........................= _________
D.Number of training..........................................____ x $10 = _________
Total:_________

Payment: A $63.00 minimum (or greater) non-refundable deposit must accompany this application. The balance is payable at the end of the event. Payment can be made by cash, check or Visa/Mastercard. This application will not be in effect until accepted and signed by the customer.
Form of payment:------Cash Check Visa/Master Card

Accepted: ____________________________________________Date: ______/______/______
---------------------------(Customer Signature)
After signing, please FAX to (805)543-2634.