Your DVD Video will include:
--> All of your video-taped Ski/Snowboard training runs from your days at camp
		
Name_________________________  Address _______________________________ 

City_____________________  State _________ Zip Code_______________

Phone____________________  E-Mail ________________________________

Please circle the session(s) you were here and the coach you had for each:  
					    Name of your coach
Session 1 (May 30-June 5)	__________________________________________
Session 2 (June 6-12)		__________________________________________
Session 3 (June 13-19)		__________________________________________
Session 4 (June 20-26)		__________________________________________
Session 5 (June 27-July 3)	__________________________________________
Session 6 (July 4-10)		__________________________________________
Session 7 (July 11-17)		__________________________________________
Session 8 (July 18-24)		__________________________________________
Session 9 (July 25-31)		__________________________________________
Session 10 (August 1-7)		__________________________________________
Session 11 (August 8-14)	__________________________________________
Session 12 (August 15-21)	__________________________________________
Session 13 (August 22-28)	__________________________________________
Adult Session (Aug 29-Sept 4)	__________________________________________
Smith Rocks camp (July 25-31)	_________________________________________

To order:  Fill out this form and send it to Robin (video man).  
Be sure to write down who you had for a coach. If you forgot the coach's name,
give Robin a call. Or click here to help you remember: 

Video Address:	Robin Cressy/MHSSC Video
		PO Box 317
		Government Camp, OR 97028		                 
		971-570-3171    e-mail: Robincressy@q.com 	

Method of Payment: (check one)  
	  ___ Check (Payable to MHSSC)  
          ___ VISA/Mastercard Card # ___________________________________
			Amount:____________  Expires____________	
			Name on Credit Card: ___________________________
						(Please Print)
Video prices:
	If you attended 1 Week $25
	If you attended 2 Weeks $30
	If you attended 3 Weeks $35
	If you attended 4 or more Weeks $40

$______ Sub total
 $2.00 Shipping  (first class mail)
$______ Grand Total

Allow 2 weeks for delivery. We ship via first class U.S. Mail.