Your Name   Address   City, State ZIP   , E-Mail Address   Phone   xxx-xxx-xxxx Tour Type Nature Center Tour - 90 min Nature Center Extended Tour - 120 min Number of Adult Riders 12345 (19 years of age or older) Number of Youth Riders 01234 (14 to 18 years of age) Date of Tour 07/02/2010 at 4:30pm Tours just $39.95 (90 minute tour) or $54.95 (120 minute tour) per person. All riders must be 14 years old or older. All riders 18 and under must be accompanied by an adult. All riders 14-18 years old must wear a safety helmet, it is the Ohio state law. (safety helmets will be provided for all who must wear one or who would prefer to) All riders must weigh 100 - 270lbs for the Segway personal transporter to balance with their weight. All payments will be process via PayPal. You can use PayPal even if you do not have a PayPal account. PayPal accepts Visa, Mastercard, Discover, American Express, and your Bank/ATM Card.