To Reserve your spot at the Convention

                                   Please print out this form and complete it.

                            And mail it along with a check made out to ORCA to

                                                            Bill Land

                                                       6199 Treeledge

                                              Colorado Springs, CO. 80918
 

Name (please):___________________________________________________________
Address:________________________________________________________________
City_______________________________ State:__________ Zip Code:_____________
Phone:______________________________ Email_______________________________
ORCA Membership $30.00 for US residents (If not already a member)) $_________

Canadian residents $35.00 and other foreign memberships $40.00 (If not already a member)) $_________
Convention Registration $10.00 $_________
Show Tables @ $20.00 each (Subject to availability)____@_______________
TOTAL ENCLOSED $_________
To assist us in planning please answer the following:
It is likely that I will_____ or will not______ participate in the fishing tournament.
A valid Colorado fishing license required, visit
http://wildlife.state.co.us/Fishing/
If you are bringing a display for the show, please indicate the number of tables needed (no charge for display tables).______
If your spouse is attending, indicate areas of interest: a) Shopping opportunities____; b) Historical tours_____; c) Other – please specify________________________________