COCHRAN’S SEASON PASS FORM

Family Name ______________________________________

Address __________________________________________

Phone Number _____________________________________

Name & Ages of Family Members:

___________________________ _________________________

___________________________ _________________________

___________________________ _________________________

___________________________ _________________________

Are you interested in learning more about Cochran’s Ski Club? ____ yes ____ no

Amount Enclosed: _____________________________________

Before 12/1/08 After 12/1/08

Family Pass: $330 + 6% tax =  $349.80 $440  + 6% tax =  $438.94

Individual: $195  + 6% tax =  $206.70 $245  + 6% tax =  $259.70

Please Make Checks Payable To: Cochran’s Ski Area

P.O. Box 789

Richmond, VT 05477

For More Information:                       (802) 434-2479
                                                           www.cochranskiarea.org