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Federation of Fly Fishers – OREGON Council’s Fly Fishing the Northwest Show

Seaside Civic & Convention Center – SEASIDE, OREGON SEPTEMEBER 26, 27, 28, 2003

SHOW REGISTRATION FORM

FFF MEMBERSHIP FEE for non-members only: Join the FFF and S VE on admissions, clinics, & workshops!

Individual $29.00

Family $35.00

Senior $22.00

(includes spouse & children under 18) (age 65 plus)

$________________

DMISSION for FFF MEMBERS: Must Provide Federation of Fly Fisher Membership Number.

dults - $6.00 per day

dults - $15.00 for three show days

$________________

Students 12 – 17 years old - $3.00 per day

Students 12-17 years old - $8.00 for three show days

Students and Children 11 years old and under and accompanied by an adult …………………………

$________________ FREE

DMISSION for General Public: dults - $7.00 per day

dults - $18.00 for three show days

$________________

Students 12-17 years old - $4.00 per day

Students 12-17 years old - $10.00 for three show days

Students and Children 11 years old and under and accompanied by an adult ……………………………

$________________ FREE

FORW RD CLINIC TOT L (from show clinics & workshops pre-registration form page) ………………………………

$ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

FORW RD WORKSHOP TOT L (from show clinics & workshops pre-registration form page) ……………………….

$ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SHOW B NQUET TICKET(S) – Saturday, September 27, 2003 – 6:30 p.m. to 9:30 p.m. Best Western’s Ocean View - Lewis & Clark Room

Prime Rib & Dungeness Crab Cakes Buffet NO HOST COCKT ILS served 5:30 p.m.

____________ X $30 each ……………………………………

$_______________

Limited Edition Show Pin(s) ___________ X $6.00 each ………………………………………………………………………..

$_______________

GR ND TOT L ………………………………………………………………………………………………….

$_______________

Please Print Clearly: Name:____________________________________________________________________ FFF Membership #:

___________________________

Spouse’s & Children’s Names (if family)_________________________________________________________________________________________________

ddress:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

City: ____________________________________________________________

State:

______________________________ Zip: __________________________

Day time Phone:

-

-

__________ __________ __________________

P YMENT METHOD

( ) Check Enclosed

Please charge to my:

( ) VIS

( ) M STER C RD

C r e d i t C a r d N o : _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _

Exp. Date:

/

_______ ________

Card Holder’s Signature:____________________________________________________________________________________ Workshop Wait Lists: wait list of 5 people will be maintained for each clinic and workshop. You must pre-register and pay for the clinic and / or

workshop in order to be on the wait list. If a space in a clinic or workshop opens up due to a cancellation, the first person on the wait list will be

added. Clinic and workshop fees will be refunded if you do not get into a clinic or workshop. Class size or limits will not be increased beyond

numbers listed.

Confirmation of Registrations: Please allow 3 to 4 weeks to receive your confirmation letter.

Cancellations & Changes: Cancellations received after September 8th, 2003 will NOT be refunded except for emergencies. ORC reserves the right

to cancel or add clinics and / or workshops for any reason. Class space will not be reserved until payment is received. Pre-Registration DE DLINE: Pre-registrations will NOT be accepted after September 12th, 2003.

WE WELCOME VOLUNTEER HELP Our new fly fishing show simply would not be possible without the dedicated efforts of many volunteers. If you would like to help, please let us know!

I am available on these dates& times: ( ) 09-25-03 & hours 8 a.m. - 8 p.m. – indicate times

_______________, ( ) 09-26-03 & hours 8 a.m. - 5 p.m.

_____________, ( ) 09-27-03 & hours 8 a.m. - 9 p.m.- indicate times_________________, ( ) 09-28-03 & hours 8 a.m. – 4 p.m. _______________.

I am interested in helping with: ( ) dmissions / Registrations, ( ) Silent uctions, ( ) Bucket Raffles, ( ) Oral uction, Youth ( ) Tying or ( ) Casting Mail form(s) and payment to: Fly Fishing the Northwest Show, Oregon Council - FFF, P.O. Box 2417, Grants Pass, Oregon 97528

Oregon Council of the Federation of Flyfishers 5

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