Maricopa County by HC120717191322

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									                                                                                                                   For Office Use Only:


                                      Maricopa County                                                       Pass #
                              Parks and Recreation Department                                               Expires:

                                                                                                            Additional Card #

                                Lake Pleasant Regional Park
                                                                                                            Replacement Card #
                                   Annual Pass Options
                            The pass is good for one (1) year from date of purchase.

                                                                       Other:
       $140 7-Day no watercraft                                              *$10 Additional Card (must reside in same household)
       $200 7-Day with watercraft                                            $10 Replacement Card each
       $125 4-Day with watercraft (Valid Monday                              $50 7-Day Additional Watercraft or Senior
       thru Thursday only)
       $65 Senior (65 and over)                          $25 4-Day Additional Watercraft
                    *$10.00 Additional Card for vehicle entry only. (Boat Fee(s) Apply)

Name

Address                                                                                                  APT #

City                                                          State                                      ZIP

Additional Cardholder Name

Would you like to be notified of monthly park programs & special events via electronic mail?                                YES       NO

Email Address                                                                  @
                                                                                    Cell
Phone
                                                                                    Home

o   Annual Pass. One pass per purchase. The pass shall expire one year from the date of purchase. If a pass is lost or
    destroyed, a duplicate pass may be purchased for $10.00
o The annual pass is valid for a vehicle, pedestrians, bicycles, and horseback. Eligible users of the pass shall have the pass and
    a valid driver's license or similar identification, in their possession to prove eligibility. Users shall display these items to park
    personnel upon request. Seniors may be required to show proof of age upon purchase.
o The annual pass shall be shown to contact station attendant if staffed. If visiting a Park and out of your vehicle, display pass
    on dash of vehicle. When using the self-pay station (iron ranger), the annual pass number must be written on the self-pay
    envelope. Remove stub from the self-pay envelope and display on dashboard. The annual pass is valid for day use only; not
    valid for camping. The pass does not allow use of dump station. The annual pass is non-transferable. Annual pass holders
    will abide by all park rules. The annual pass is not valid if the park is closed for any reason (maintenance, filled to capacity,
    etc.).
Please make check or money order payable to:
Lake Pleasant Regional Park, 41835 N. Castle Hot Springs Rd. Morristown, AZ 85342

For Office Use Only:
$                 Cash                          Date Payment Received:                          Received by:
$                 Check #                       Date AP Processed:                              Processed by:
$                 VISA/MC
$                 Other

								
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