Payment Form
For Multi-day Land and
River Expeditions
How to make a payment using this form
To pay by credit card, complete this form, print it out and either mail it or fax it to us. You can also just call us toll free at
1-800-833-1278
and forget the form.
To pay by check, complete this form, print it out and mail it to us with your deposit check enclosed.
Payment Form:
Step 1. Complete Payment Form
Trip Name:
Choose your trip...
--------- River Trips ---------
1-Day Cataract by RHIB
2-Day Cataract by RHIB
3 Day Cataract by Row Raft
5-Day Cataract by Raft
2-Day Westwater by Raft
3-Day Dolores by Raft
4-Day Labyrinth by Raft
2 Day Fisher Towers by Row Raft
--------- Combo River & Jeep Trips ---------
5-Day Cataract & Maze
5 Day Cataract & Needles
--------- Jeep Trips ---------
3-Day Needles 4WD
3-Day San Rafael Swell 4WD
4-Day Maze 4WD
3 Day White Rim by 4WD
Trip Date:
Your Name:
Total Adults in group
(including you):
Total Number of Youth
(16 and Younger):
Your Address:
Notes or Special Instructions:
Home Phone:
Work Phone:
Fax Number:
E-mail:
Payment Amount:
(
Deposit $100 per person)
Payment Method:
By Check
By Credit Card -- complete below
Credit Card Type:
Choose Card Type
American Express
Discover
MasterCard
Visa
Credit Card Number:
Name on Credit Card:
Expiration Month:
1
2
3
4
5
6
7
8
9
10
11
12
Expiration Year:
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Signature:
(If paying by
credit card)
X
________________________________
Todays Date:
Step 2. Print out the form and either mail it or fax it with payment
Deposit & Refund Policy:
A $100 deposit per person is required within 14 days of making your reservation.
Final payment is due 30 days before trip departure.
Your deposit is refundable less a $50 per person service charge if written notice is received at least 31 days before departure. No refunds will be given within 30 days of trip departure.
NAVTEC Expeditions
321 North Main Street
PO Box 1267
Moab, Utah 84532
Call toll free: 1-800-833-1278
In Moab, call: 259-7983
Fax: 1-435-259-5823
E-mail:
info@navtec.com