Mt Hood Summer Ski Camps Video Order Form Summer 2011
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 29-June 4)   	__________________________________________
Session 2 (June 5-11)		__________________________________________
Session 3 (June 12-18)		__________________________________________
Session 4 (June 19-25)		__________________________________________
Session 5 (June 26-July 2)  	__________________________________________
Session 6 (July 3-9)		__________________________________________
Session 7 (July 10-16)		__________________________________________
Session 8 (July 17-23)		__________________________________________
Session 9 (July 24-30)		__________________________________________
Session 10 (July 31-Aug 6)	__________________________________________
Session 11 (August 7-13)    	__________________________________________
Session 12 (August 14-20)       __________________________________________
Session 13 (August 21-27)   	__________________________________________
Adult Session (Aug 28-Sept 3)	__________________________________________

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
		13026 SE Division Street
		Portland, OR 97236		                 
		503-760-0133    e-mail: Robincressy@gmail.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.