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THE COUNTRY JUNCTION

CUSTOMER INFORMATION & INQUIRY FORM

For a birthday party, please fill out as much information as possible and SUBMIT. We will contact you and answer any questions you may have and confirm your information.

NAME:         DATE: 
ADDRESS:  EMAIL:
CITY: PHONE: 
STATE:   ZIP: FAX:    
REFERRED BY: CELL: 
CHILD'S NAME:
DATE OF PARTY: GIRL:     BOY:
SELECT TIME FOR PARTY  CHILD'S AGE:
AT THE COUNTRY JUNCTION @ $225.00 2 HOURS: ADDITIONAL TIME: @ 30 MIN $50.00:
HAY RIDE: (only at the farm) ADDITIONAL PONY: @ $75:00 AN HOUR
TWO PONIES @ $225.00 AN HOUR: PICTURES: 
ONE PONY AND PETTING ZOO @ $225.00 AN HOUR: COWBOY HATS: 

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