Training Camp with Stellan Bengtsson

Registration Form
From
At the Willamette Table Tennis Club (www.wtabletennis.org)
1960 Oak St. SE, Salem, Oregon

Capacity is limited and prepayment is required.
Fee: $500
Questions? Contact Ben Bednarz at
xxxxxxxcell: 503-851-2941
xxxxxxxemail: president@wtabletennis.org
Make your $500 check payable to:
xxxxWillamette Table Tennis Club
and mail to:
xxxxxxxc/o Ben Bednarz
xxxxxxx780 Commercial St. SE
xxxxxxxSuite 300
xxxxxxxSalem, OR 97301
Name:
Rating:
Age if Junior:
Home Phone:
Cell Phone:
Email:
Address:
Questions/
Comments:
   
    
Special discount for those over 1900
First time participants only: rated over 1900, take off $50
from your fee. Total price is only $450.