Enclosed is $ _____________ Your Check Number ____________
O VISA O Mastercard # __________________________________ Ex ___________
Bank Card Signature _______________________________________
Name ________________________________________________ Date _____________
Address ______________________________________________ City _____________
State/Zip _________________________ Phone _________________________________
Additional Banquet Attendee Name(s) __________________________________________
________________________________________________________________________
________________________________________________________________________
Indicate your dinner menu choice(s) corresponding to the number of attendees:
__________ Beef __________ Chicken __________ Salmon
(Please indicate the type and quantity of your purchase.
Note total of all selections should match amount you indicated at top of form.)
_____ Banquet Ticket(s) - $35.00
_____ Children under 12 banquet ticket(s) $20.00
_____ Banquet Ticket(s) & 40 general Drawing tickets - $55.00
_____ Banquet Ticket(s) & 100 general Drawing tickets - $100.00
After March 1, 2008
add $10
late registration fee
per person
Cancellations
after March 16 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