Print this form and mail to the address below
Enclosed is $ _____________ Your Check Number ______________
O VISA O Mastercard # __________________________________ Ex ___________
Credit Card Signature_______________________________________
Category (check one): Professional
_____ ($25) Adult _____ ($10) Youth
(15 & Under) _____
Name ________________________________________________ Date _____________
Address ______________________________________________ City _____________
State/Zip _________________________ Phone _________________________________
Mail Check (payable to OBH) or Credit Card Info To:
Oregon Bow Hunters
Karen Demaris
La Pine, OR 97739
(541) 536-2252