Field Trip Payment Form
Print and present this completed form upon arrival with one check payable to Sauder Village.

 

Tour Date:______________________________________________________________________
School/Group Name: __________________________________________________________________________
Supervising Leader:__________________________________________ Email: __________________________ 
School/Contact Phone: ______________________________________   Grade Level: __________________________
Principal's Name (if applicable):_________________________________________________________________
 
A.
 
Total Number of Students: _______________
 
at $6.00 = A. $ _____________
 
B.  
 
Total Number of Adult Chaperones: ________
 
at $9.00 = B. $ _____________
 
C.
 
Total Number of Teachers: _______________
 
FREE = C. $ ______________
 
D.
 
Total Number of Bus Drivers: _____________
 
FREE =  D. $ ______________
 
E.
 
Total Number of Treat Tickets: ____________
 
$2.00 each =  E. $ __________
 

 
Treat tickets can be redeemed for a train ride, or a buggy ride, or a single dip ice cream cone, or a goodie bag from the General Store.

PLEASE NOTE: You must call us PRIOR to arrival to make arrangements for the tickets to be ready for you.
 

Total Due in ONE check (total of all lines)
 
$  _____________
 
If needed, a refund will be issued via check.
 
 (For Sauder Village use)  Refund in the amount of  $ ________________
 
Check to be made payable to: ___________________________________________
 
Sent to: Address  _____________________________________________________
 
City: _______________________      State: _____       Zip Code: ______________
 
 

* Because you are already receiving a special rate, we cannot accept
any additional coupons or discounts with student group tours.

________________________________________________________________________

 

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