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	

ADA Accessible:    □ Yes   □ No
Hours of Operation: (1 paragraph, 250 characters max.)_____________________________________________
_____________________________________________________________________________________

Fees: (1 paragraph, 250 characters max.)_________________________________________________________
_____________________________________________________________________________________

Facility Description: (1 paragraph, 400 characters max.)_____________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
Amenities:  (can only show items from this list)  □ Child/Senior Discount    □ Lodging    □ Restaurant    
□ RV Friendly     □ School Field Trips   □ Snack Shop    □ Wheelchair Access    
Payment Options:    □ Cash   □ VISA   □ MasterCard   □ Discover   □ American Express   □ Check

Public Contact Info	
Phone: __________________     Toll-Free: __________________     Fax: __________________     Email: ___________________     Website: ____________________________________________  

Directions from Nearest Route (highway)	

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

Map URL: _____________________________________________________________________________

Directions from Route: (1 paragraph) ________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

We can also include a small picture, or logo, for your business. (We are limited to a picture width of no more than 150 pixels but will be happy to resize your picture for you.)

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: ___________

Subscription rate: $ 150.00 per year. 

Payment Method:
 □ Check Enclosed
 □ Invoice Me

Mail your completed form to:	
Oregon Travel Experience
ATTN: Tripcheck Link Subscription
1500 Liberty St. SE, Suite 150
Salem OR 97302

or
				
Email: info@oregonte.com 		Questions? Call 1-800-574-9397 and choose Sue VanHandel or zero for Operator

or

Fax:  503-378-6282