TripCheck – Attractions Form

Part 1: Business Name and Public Street Address (information released to the public)	

**All items in bold must be filled in***

Business Name: ______________________________________________________
Street Address: ________________________________________________    Suite: ________
City: ______________________     State: Oregon     Zip: ____________
Attraction Type (select one):    □ Aquarium   □ Casino   □ Commercial Entity   □ Cultural   
□ Entertainment   □ Historical   □ Museum   □ Parks/Scenic   □ Recreational   
□ Other, Specify: _______________________________________   □ Do not display for this listing               

Part 2: Business Profile (information released to the public)	

**All items in bold must be filled in***

Facility Description	

Hours of Operation: ____________________________________________________________________

Fees: ________________________________________________________________________________
_____________________________________________________________________________________

Facility Description: ____________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
Amenities:    □ Child/Senior Discount    □ Lodging    □ Restaurant    □ RV Friendly
                  □ School Field Trips   □ Snack Shop    □ Wheelchair Access    
Payment Options:    □ Cash   □ VISA   □ MasterCard   □ Discover   □ American Express   □ Check
ADA Accessible:    □ Yes   □ No

Public Contact Info	

Phone: __________________     Toll-Free: __________________     Fax: __________________     Email: ___________________     Website: __________________________________________  

Directions from Nearest Route (highway)	

Route: _______   Milepost: ______   Longitude: __________________   Latitude: __________________ 

Map URL: _________________________________________________________

Directions from Route: __________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Part 3: OTE Business Contact (not released to the public)	

**All items in bold must be filled in***

Primary Contact Info	

First Name: _________________________     Last Name: _________________________   
Phone: _______________________               Fax: _______________________                 
Email: ______________________________

Alternate Contact Info (optional)	

First Name: _________________________     Last Name: _________________________   
Phone: _______________________               Fax: _______________________                 
Email: ______________________________

Owning Business and Mailing Address	

□ Same as the public business name and street address?

Owning Business Name: _________________________________________________________________
Address 1: __________________________________   Address 2: _______________________________
City: ______________________     State: _______________     Zip: ___________

Payment method:

 □ Check Enclosed
 □ Invoice Me
 □ Paid Online

Regular subscription rate: $ 150.00 per year. 
Mail your completed form to:
Oregon Travel Experience
ATTN: Tripcheck Link Subscription
1500 Liberty St. SE, Suite 150
Salem OR 97302
Questions? Call Harry Falisec at 1-800-574-9397.
FAX 503-378-6282