2012-13 SEASON PASS - INSTALLMENT PAYMENT PLAN Date: Name: Email: Address: Phone # : ( ) ( ) I would like to enroll in the Installment Payment Plan at The Lake Louise Ski Area Ltd (LLSA) for the 2012-13 Winter Season. I will receive Season Pass(es) upon FINAL payment(s). Initials Once pass(es) are paid in full, they can be picked up at our Calgary Office or at The Resort. An LLSA waiver MUST be completed by each Adult/Guardian. SEASON PASS(ES) PURCHASED - Tick off box(es) EARLY BIRD PRICING Adult (18 - 64) Family Age as of November 01, 2012. See website for full details. Price 679.00 529.00 Child (6 - 12) 199.00 Tiger (1 - 5) 25.00 Senior (65+) 529.00 Student (18 - 24) 529.00 Student - Addon 249.00 Midweek 529.00 Midweek - Student (18 - 24) 399.00 CADS 479.00 20.00 Locker 199.00 VIP Parking 329.00 (X) Total 1,499.00 Youth (13 - 17) Super Senior (80+) Quanity SUB TOTAL Plus: Installment Administration Fee - 5% Of Season Pass Total TOTAL BEFORE GST A B 5% x Sub Total (A +B) GST - 5% SEASON PASS INSTALLMENT BALANCE Passholder Name $ Date of Birth Pass Type Page 1 of 2 2012-13 SEASON PASS HOLDER(S) INFORMATION Name: Email: Phone # : ( ) Installment Payment Dates: 30% - Due at time of Purchase, 30% Due Sept 30, 2012, 40% Due November 01, 2012 Cash - payments made at Calgary Office or Resort Debit Card - payments made at Calgary Office or Resort Credit Card (Visa, Master Card, or American Express) ** Post Dated Cheques ($25 fee on NSF Cheques) **LLSA reserves the right to charge a $25 fee for each credit card transaction that is rejected or declined. SEASON PASS INSTALLMENT BALANCE 1st Payment - At time of Purchase TOTAL FROM PAGE 1 30% ( BALANCE OWING Installment Payment Schedule: 2nd Payment - Due Sept. 30, 2012 Final Payment - Due Nov. 01, 2012 ) Season Pass(es) Notes (office use only) 30% 40% CREDIT CARD AND PRE AUTHORIZED DEBIT INFORMATION CREDIT CARD INFORMATION ________VISA ________ MASTERCARD ________ AMERICAN EXPRESS Name as it appears on the credit card (Please Print) Credit Card Number Expiry Date Billing Address for Credit Card Payments Dates 1st Payment - 50% Time of Purchase 2nd Payment - Due Sept. 30, 2012 Final Payment - Due Nov. 01, 2012 Total Installment Payments Signature of Card Holder Date: Page 2 of 2
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