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