For Reservations please return to OBRA with $25 per person
.............................................................................

Name __________________________________________ 

# of attendees ________________________

Checks payable to "OBRA"

Credit Card Number __________________________________________________

Expiration date ____________  

CID ________ (3 digit code on the back of Visa, MC, Discover 4 digit code on front of Amex)


Address _________________________________________________________________________________

City ______________________________ State ______  ZIP ______________

Email to kenji@obra.org or send to:

OBRA
PO Box 5773
Salem, OR 97304

For more information call Kenji Sugahara, (503) 383-1228 or email kenji@obra.org