TripCheck – Tourism Association Form

Association Information	

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

Association Name: ______________________________________________________
Public Street Address: _______________________________________________  Suite/Apt: ________
City: ______________________     State: Oregon     Zip: ____________
Phone: __________________     Toll-Free: __________________    
Website: __________________________________________
Nearest Highway: _______   Milepost: ______ 

OTE Contact Information (not released to the public)	

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

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

Payment method:

 □ Check Enclosed
 □ Invoice Me
 □ Paid Online

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