Winter Fishtrap- February 22-24, 2008
Mail-in or FAX Registration Form
For your convenience (and ours) you may fill in this form, print it out and mail with your payment.
Name
Address
City
State
Zip
 
Phone
Email
Winter Fishtrap is held at the Wallowa Lake Lodge. Enrollment is limited to 55. Fees, which include five meals, are listed below. A $100 non-refundable deposit will hold a spot; remainder due February 12, 2008. Special rates are available for early registration with full payment by January 10, 2008. (check only one)
Lodging options Fee (includes registration) Prices are per person. There are other lodging options available at and near the Lodge, contact us for info.
  Early Bird Price After January 10 Balance due Feb. 12
Single room (1 Q bed)
Private bath
550
600 $100 deposit
Shared room (1 Q bed)
Private bath
500
550 $100 deposit
Single room (1 Q bed)
Shared bath
500
550 $100 deposit
Shared room (2 Twin beds)
Shared bath
440
475 $100 deposit
Without lodging 375
400 $100 deposit
Bus from/to Portland $75
You pro-rate your amount for points in between along I-84
$_____

Special needs:
(dietary, mobility)

Check or money order enclosed
Credit card
(complete info below)
Card type
Visa
MC
3-digit Security Code on back of Card
Card number
Exp. date
Amount
If not paying the full amount, a deposit of $100 is necessary to reserve your spot in the gathering (whether you are taking lodging or not).
Signature
________________________________________________________
REGISTER by PHONE or FAX
Call Fishtrap at 541-426-3623 during regular business hours with your credit card information.
Or print and fax this form to 541-426-9075
Fishtrap, Inc. PO Box 38, Enterprise, OR 97828    541-426-3623