Stellan Camp Registration Form for

Please be accurate. This is important.     

At the Willamette Table Tennis Club
1960 Oak St. SE, Salem, Oregon

Capacity is limited and prepayment is required.
Fee: $500

Make your $500 check payable to:
xxxxWillamette Table Tennis Club
and mail to:
xxxxxxxc/o Ben Bednarz
xxxxxxx780 Commercial St. SE
xxxxxxxSuite 300
xxxxxxxSalem, OR 97301

Special discount for those over 1900
First time participants only: rated over 1900, take off $50
from your fee. Total price is only $450.

Questions? Contact Ben Bednarz at
xxxxxxxcell: 503-851-2941