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with your Credit or Debit Card!
We use PayPal for the transaction.

Note: You do not have to have a PayPal account.

 

 

 4X4 Lost Jackass Patrol
MARCH 8th - 11th 2018

Clamper Guy Thorpe is the 4x4 leader.
Call Guy for details on his event.

602-404-7511

Note: by paying online you agree to Lost Dutchman's release from liability form and will not need to bring one to the doins. If you are paying for a Ride Along, they will have to fill out the form at the doins

 

Lost Dutchman Chapter 5917 + 4 

 

AGREEMENT AND RELEASE FROM LIABILITY

 I, acknowledge that I have voluntarily requested accompany the Ancient and Honorable Order of E Clampus Vitus® for the purpose of dedicating various plaques and/or monuments of major or lesser events of Arizona History.

 I AM AWARE THAT THE MEETINGS OF THE ANCIENT AND HONORABLE ORDER OF
E CLAMPUS VITUS® OCCUR IN THE WILDERNESS, AND THAT: DRIVING FROM MY POINT OF DEPARTURE ToSAID MEETING, HEREINAFTER CLAMPSITE; AND DRIVING BACK TO MY POINT OF DEPARTURE ARE POTENTIAL DANGEROUS AND HAZARDOUS ACTIVITIES. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH THE KNOWLEDGE OF THE DANGER INVOLVED, AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERIFY THIS STATEMENT BY PAYING MY FEES FOR THE DOIN'S USING ELECTRONIC PAYMENT.


As consideration for being permitted by the Ancient and Honorable Order of E Clampus Vitus® to participate in these activities, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make claim against, sue, or attach the property of the Ancient and Honorable Order of E Clampus Vitus® or any of its officers or members for injury or damage resulting from the negligence or other acts, howsoever caused, by any member, agent officer as E Clampus Vitus® and  any of its officers or members from all actions, claims or demands that I, my assignees, heirs, distibutees, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my above-described participation at the CLAMPSITE.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ANCIENT AND HONORABLE ORDER OF E CLAMPUS VITUS®, ITS OFFICERS AND MEMBERS AND OF MY OWN FREE WILL.                                                                                                                                     


 

1)Use the drop down box to choose fees and shirts. (Press )
2)Press Continue shopping to add more items like Shirts.
3)When done do checkout. Note: You don't need a PayPal account.
When on the checkout page:
Choose the Use your credit card or bank account (where available). 
4) You will get a confirmation from PayPal and Dutchman gets paid. Dutchman will email you also that they got your payment.
5) If you
do not get an email confirmation, You probably didn't hit the final page submit and you will have to do it again.
 

If you have an issue, Contact Frank "Credit Card" Houdek at

frankhoudek@gmail.com

Dutchman 4x4