You are on page 1of 1

ASHLAND REG.

SLIP

HOST FAMILY NAME

HOST FAMILY ADDRESS

HOST FAMILY PHONE #

HOSTED STUDENT NAME

PHONE #

E-MAIL

COST OF TRIP $120.00

DEPOSIT $60.00 to be sent in ASAP FIRST 25 TO REG. WILL GET TO GO

Mail slip AND CHECK to Ron Combs 2134 SE 60th Ave Portland, Or 97215-4072

MAKE CHECKS PAYABLE TO Ronald Combs

You might also like