Future Reflections Winter/Spring 1998, Vol. 17 No. 1

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1998 NFB Camp Pre-Registration

Child(ren) Name(s)/Age(s)

Parent/Guardian

Address

City State Zip

Home Phone ( )

Work Phone ( )

Total Enclosed

Make checks payable to: NOPBC.

(Cut here. Keep the information below.)

Rates:

First Child (full week) $60

Additional Siblings (full week) $30 each

Daily rate per child $15 each per day

Banquet $10 per child=20

Send this form with payment to:

Carla McQuillan

NFB of Oregon

5005 Main Street

Springfield, Oregon 97478

Questions? Need more information? Call Mrs. McQuillan at: (541)

726-6924