Champoeg State Park Registration Form

Champoeg State Park Registration Form

No-host Camping
The Champoeg State Park Camping is currently full. To be placed on the waiting list contact Terri Warren at 503-701-2798 or twestover@mac.com. If cancellations occur Terri will send you a code allowing access to the registration form. Enter the code in the box below.
Primary Name *

First Name Last Name
Secondary Name

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
International Airstream Club Number *
If you have not received your official number yet, please use TBD in field.
Trailer/Motorhome Length (number only) *
Vehicle License No. *
Special Needs?
How did you hear about this rally?
Pay Online or by Check *

Credit Card or Paypal Check
Online Payment *
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OAC Champoeg State Park Camping – Online Payment Arriving Friday July 2, departing Monday, July 5, 2021
$ 104.00

Total

$ 0.00
OAC Champoeg State Park Payment - Check Via Mail – $101.00
Arriving Friday July 2, departing Monday, July 5, 2021

Please contact Terri Warren at 503-701-2798 or twestover@mac.com for mailing address.

Make check payable to: Oregon Airstream Club.
Should be Empty: