Trip Details and Registration Form
Trip features thrilling Class V rapids and beautiful views of the New River Gorge, known as the "Grand Canyon of the East" Trip departs from Fayetteville, WV. Winner will be responsible for transportation to and from Fayetteville.
Trips includes 1 guided New River Raft Trip, all necessary equipment (paddle, PFD, helmet), riverside lunch, dinner, and camping. (winner must supply own camping equipment.)

Fields marked * are Required.

Contest Rules

*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State/Zip:		AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KA KY LA ME MD MA MI MN MO MS MT NC ND NE NV NH NJ NM NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
*Phone:
*Email:
Contact me by:		Email Phone Postal

1. Have you ever been rafting? Yes No If yes, how many times? 1-5 5-10 10+

2. What year were you born? (mm/dd/yyyy)

3. Your gender & marital status, please? Male/Single Male/Married Female/Single Female/Married

4. How many adventure enthusiasts live in your household? 1 2 3 4 5+

5. How many times per year do you travel for vacation/pleasure? 1 2 3 4 5+

6. What is your occupation? Management Labor Medicine Technical/Industrial Government Retired Secretarial Marketing/Sales Education Other