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


		(print neatly)
		
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
FALL 2009
Thanksgiving camp (Nov. 21-27)	_____________________________________________


WINTER 2009
Winter session 1 (Dec. 12-16)  _____________________________________________
Winter session 2 (Dec. 18-22)   ____________________________________________
Winter session 3 (Dec. 26-31)  _____________________________________________

SPRING 2010
Spring session 1 (March 21-27)	_____________________________________________
Spring session 2 (March 28-April 3)__________________________________________
Spring session 3 (April 4-10)________________________________________________

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@q.com 

DVD or VHS tape (check one) ___DVD (DVD- format) ___VHS	  	      	
 
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 Shipping  (first class mail)
$______ Grand Total

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