OPMA Class Registration Form  (circle class you would like to attend)

Roseburg - March 4,   Coos Bay - March 7, Gresham - March 14,    K. Falls - March 19,
 Medford (White City) - March 21,   Eugene -  March 28,    Pendleton - April 18

Manager's Name _________________________________________________

Park Name ______________________________________________________

Mailing Address __________________________________________________

City ______________________________________        Zip ______________

Phone ____________________________      

Your email address _________________________________________

Please print and mail this form and a check payable to OPMA in the amount of $150 for each person.  We will send you directions to the class location.  We will email you the specific class location and time.  Classes begin in mid-morning and end in mid-afternoon.  Lunch and the text book are included in the tuition.

3355 N. Delta Hwy. Sp. 73                 
EUGENE, OR 97408