Ozark Mountain Basset Rescue, Inc.

Online Picnic Registration Form

We look forward to seeing you!

If you experience any problems with this registration form,
please contact the webmaster at webmaster@ombr.org for assistance.

If you would pefer to download and mail your registration, you can find it

HERE for Word format
or
HERE for pdf format

Please complete and mail it with your registration fee to:

Menzie Campbell
2260 Morning Glory Lane
Conway, AR 72034
501-358-2104

Online Registration

Today's Date:

Your Name:

Names of People over age 10 attending:

Names of people under age 10 attending:

Names of dogs attending:

Mailing Address

City: State: Zip:

Phone: Cell: Email Address:

Amount Enclosed ($10 per person over 10; $20 per family in advance, $25 per family at the gate. Kids under 10 are free):

I am unable to attend OMBR's 2007 Picnic,
but I would like to give a donation of $
enclosed here, to support OMBR's mission of rescuing, vetting,
and finding loving forever homes
for abandoned, strayed, and unwanted basset hounds.
Please make checks payable to OMBR, Inc. OMBR is a not-for-profit 501(c)(3) tax exempt corporation.
All donations are fully tax deductible as allowed by law.
www.ombr.org
Please send in your registrations by October 10, 2007.
This gives us a head count to plan for food and drinks, and also gives us a chance to reach you in the event of an emergency before the date of the picnic.
And as always, you can pay your registration fee by Paypal!
Our Paypal address is: Ozarkmtnbasset@yahoo.com