Name of purchaser:

Reservation Number:

Skier's Name         First Day of Skiing      Number of Ski Days       

i.e. John Smith                  12/15/07                       6                                    

I authorize Telluride Rentals to charge my credit card for the total cost of the
discounted lift tickets ordered above.

Signature

Name:

Credit Card Number:

Expiration Date:                                                    Security Code:

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