Telluride Rentals Discounted Lift Ticket Request
Please complete form and fax to 970-712-5402

Name of purchaser:

Email:                                                             Phone:

Reservation Number:

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

i.e. John Smith                      12/15/10                                   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:

Billing Address:

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