26.11.2012 Views

Pacific Northwest Fantasyland Maple Adventure - The Maple Society

Pacific Northwest Fantasyland Maple Adventure - The Maple Society

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YOUR INFORMATION:<br />

Name(s):<br />

Address:<br />

City, State, Zip:<br />

Email address:<br />

Phone number:<br />

Member / New Member:<br />

SPECIAL FOOD REQUEST:<br />

PAYMENT INFORMATION: Send to -<br />

<strong>The</strong> <strong>Maple</strong> <strong>Society</strong> North American Branch P. O. Box 2635 Port Angeles, WA 98362<br />

Check in the amount of:<br />

Credit card information:<br />

Visa / Master card #<br />

3 digit number on back of card:<br />

Exp. Date:<br />

Oregon Post Tour Registration - October 22 - October 24, 2012<br />

Registration Includes Bus Transportation, Tours, 3 lunches, 1 dinner<br />

$<br />

Accomodations – Oregon Post Tour: Please make your own reservations.<br />

(You’ll be back at Marriott Seattle Sea-Tac on Wednesday, Oct 24, 4:30pm.)<br />

Holiday Inn Portland South – www.hiportlandsouth.com<br />

25425 SW 95 th Ave - Wilsonville, OR 97070 - (503)-682-2211 - Ask for special International<br />

<strong>Maple</strong> <strong>Society</strong> $89/day rate, single or double, breakfast included.

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