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Section 1 - Launch & Takeout
Launch Location:
*
Select
Hell's Canyon Dam
Scotty's
Oxbow Halfway
Cambridge
New Meadows
Riggins
Hoots
Pitsburg Landing
Imnaha
Freez Out Saddle
Enterprise
Joseph
Asotin, WA
Other
Launch month:
*
Select
January
Feb
March
April
May
June
July
August
September
October
November
December
Launch Date:
Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AM/PM:
AM
PM
Take Out Location:
Select
Hoots
Pitsburg Landing
Hellar Bar
Cambridge
New Meadows
Dug Bar
Imnaha
Joseph
Enterprise
Asotin, WA
Take Out month:
*
Select
January
February
March
April
May
June
July
August
September
October
November
December
Take Out Date:
*
Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AM/PM
AM
PM
Section 2 - Billing Information
Name:
*
First
Last
Billing Address:
*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Phone:
*
Area Code
-
Phone Number
E-mail:
*
Emergency Contact Name:
*
First
Last
Emergency Contact Phone:
*
Area Code
-
Phone Number
Section 3 - Vehicle Information
Plate No:
*
Make:
*
Select
Acura
Alfa Romeo
AM General
Aston Martin
Audi
Bentley
BMW
Bugatti
Buick
Cadillac
Chevrolet
Chrysler
Citroen
Daewoo
Daihatsu
Dodge
Eagle
Ferarri
FIAT
Fisker
Ford
Freightliner
Geo
GMC
Honda
Hummer
Hyundai
Infinity
International
Izusu
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
Lincoln
Lotus
Maserati
Maybach
Mazda
Mercedes-Benz
Mercury
MINI
Mitsubishi
Morgan
Nissan
Oldsmobile
Panoz
Plymouth
Pontiac
Porsche
Rolls-Royce
Saab
Saleen
Saturn
Scion
smart
Spyker
Subaru
Suzuki
Tesla
Toyota
Volkswagen
Volvo
Fuel Deposit:
*
Cash
Debit Card
Credit Card
Check
Not needed
Lock info:
*
Spare Tire Lock:
*
Trailer Lock:
*
Yes
No
Combo left in comments
Comments:
*
Vehicle year:
*
Model:
Fuel Deposit amount:
*
Select
40.00
60.00
80.00
none
other
State:
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
BC
Color:
*
Section 4 - Trip
Trip Leader Name:
*
First
Last
Key Location Launch:
*
Check in at Scotty's
Gas cap cover
Pass. side front tire
Other
Key Code:
*
Other:
# of Cars In Your Party:
*
1
2
3
4
5
6
7
8
9
10+
Key Location take out:
*
Check in at Scotty's
Key Code
Gas cap cover
Pass. side front tire
Other
Insurance/Registration Info Location:
*
Visor
Glove box
Option
Section 5 – Vehicle
Permission is hereby given to drive the described vehicle as arranged. This vehicle is covered by public liability and property damage insurance that will cover this vehicle and the shuttle driver. The vehicle has at least $100 deductible collision and comprehensive insurance. If it does not, I understand that I am liable for charges resulting from any deficiency in coverage.
I understand that the roads driven may be rough and poorly maintained. I will not hold Hells Canyon Shuttle, LLC. responsible in any way for damage done to the described vehicle while en route or parked.
If my vehicle (or trailer) is or becomes inoperable, unsafe, or unlawful to operate for any reason (including but not limited to: engine or mechanical failure, security system malfunction, ignition or gas cap key problem, no spare tire or tools, expired registration), I authorize Hells Canyon Shuttle, LLC. to exercise the option on my behalf that I have selected below.
I agree to pay for all reasonable expenses upon receiving my vehicle. Once my trip has begun, I understand the shuttle fee is non-refundable.
If my trailer or vehicle becomes inoperable:
Tow and repair
Tow to nearest town / Do not repair
AAA or towing info in glove box
Payment Location:
*
Scotty's
Floor mat
Center console
Glove box
Shuttle Quote:
*
Select
140
150
160
170
180
190
200
210
220
230
240
250
350
Please call us at 800-785-
3358 or 800-785-7192 for reservation number.
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