Last Chance Eclipse Registration
Bridgeport Farms & Gardens ~ 16385 Bridgeport Rd Dallas, OR 97338 ~ 503-623-6522
First and Last Name:
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Phone Number:
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Email address:
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Billing address:
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Vehicle Make/Model & Plate #:
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Total Number of Campers:
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Are there minors in your party?
If yes, list ages:
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Pets?
If yes, what kind and how many:
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Space Size Wanted:
Price shown is for 3 nights. 1 or 2 night pricing available upon request. If reserving more than one space, check all that apply and select totals below.
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Total number of 30 x 90 spaces requested:
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Total number of 30 x 50 spaces requested:
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Total number of 30 x 30 spaces requested:
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Total Amount Due:
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For Payment: Please call us at 503-623-6522 to submit your card info. Your reservation will not be confirmed until this last step is completed and payment is received.
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