Name ____________________________________________ Date _________________
Address _________________________________________ City __________________
State/Zip _________________________ Phone _________________________________
Total Number of tickets _______________
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$35[ ] $55[ ] $100[ ] Name ________________________________________ Chicken[ ] or Beef[ ]
$55
fee includes 40 general draw tickes, $100 fee includes 100 general draw tickets.
Children 12 and under $20.
After
February 10, 2010
add $10
late registration fee
per person
Enclosed is $ _____________ Your Check Number ____________
O VISA O Mastercard # __________________________________ Ex ___________
Bank Card Signature _______________________________________
Cancellations
after February 10th will not receive a refund
Mail Check (payable to OBH) or Credit Card Info To:
Oregon Bow Hunters
c/o Tiffany Zeiler
La Pine, OR 97739
541 536-0777