Northwest Tandem Rally 2003

University of Oregon Dorm Room Registration Form
(please print out this form and write in your info with a blue or black pen)

Name:  ______________________________    Address:  ________________________________
             Last Name      First Name     MI                      ________________________________
                                                                                    City         State       Zip Code                  
Daytime phone:_________________    Evening phone: ____________________
E-mail address:__________________________

Room Details

Dorm Room Fees Price         # of nights             Nights of stay                   Total

Single occupancy                 $30 per night            ___        ___ Thurs ___ Fri ___ Sat ___ Sun           _____
Double occupancy               $48 per night            ___         ___ Thurs ___ Fri ___ Sat ___ Sun           _____

Dorm registration fees are non-refundable
Due to an influx of late registations and nearly full host hotel, we are extending Dorm registration. Your dorm room reservation must be postmarked by Monday, June 16th, 2003

Parking available (Free on weekends, $2 for each weekday – pay on-site for this)

Dorm Breakfast

Breakfast available at $5 at the dormitory cafeteria (pay on-site for this)
Pease indicate number of diners in party and days you will want breakfast, so they can buy enough food!

Yes! Please make breakfast for:          ___ Fri ___ Sat ___ Sun

Please make checks payable to:     NWTR 2003

Mail to:    NWTR 2003                                                                Dorm Registration must be
                  PO Box 11044                                                             postmarked by June 16th, 2003
                  Eugene, Oregon 97440                                               to avoid late fees