Enrollment Form: 
Please copy and paste in your browser and send to ghosttownsafari@charter.net or print and mail with payment to
Make checks and money orders payable to "Tableau' Vivant"

Robert (Bob) Davis
2415 E. 12th
The Dalles, Oregon 97058

Please, you must read the Responsibility and Release of liability form . . .
your signature and payment signifies that you have read, and, you fully accept the release!

Name:

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Payment Type, circle one . . . Check - Visa - MasterCard - Discover Card - Money order

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Signature:
Your signature means you have read and accepted the terms of the "Responsibility and Release of Liability!" Click on this link it will take you to the release page.

Contact me:     ghosttownsafari@charter.net

541 296 2553  - - - Cell 541 350 4671

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