オレゴン州政府観光局

	● 必見14景

	● おすすめ観光コース

	● 宿泊施設
	・ホテル、B&B、リゾート
	・オートキャンプ場


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	・アウトドアガイド
	・観光ガイド


	● 各地観光案内
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	・オレゴン南部
	・セントラルオレゴン
	・オレゴン東部

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	プライバシーポリシー

OTC Online Lead Fulfillment Registration Form

By completing this form you are requesting that a login password be assigned for your use in accessing the OTC database, Upon approval by the Oregon Tourism Commission, a Registration Fee of $5.00 will be charged to your credit card and your login password will be assigned. It may be 1-5 days until your login password is delivered via email to the address you enter in this application. Login instructions for your OTC database access will also be included with the email.

Bill to First Name: *
Bill to Last Name: *
Bill to Company: *
Bill to Phone Number: *
Bill to Suite/PO Box:
**Bill to Street Address: ***
**Bill to City: ***
**Bill to State: ***
**Bill to Zip/Postal Code: ***
**Bill to Country: ***
Email Address: *
Credit Card: *
Expiration Month: *
Expiration Year: *
Credit Card Number: *

Ship to Same As Bill to: By clicking this box, the fields below will be completed by the system, based on the information above

Ship to First Name: *
**Ship to Last Name: ***
Ship to Company: *
Ship to Phone Number: *
Ship to Suite/PO Box:
Ship to Street Address: *
**Ship to City: ***
Ship to State: *
Ship to Zip/Postal Code: *
Ship to Country: *

* = required fields

We suggest that you print this form for your record keeping.

Click on "Submit" button to sign up right away

If you do not wish to submit this form electronically, click your browser's print button and mail form to:

Fulfillment Specialties, Inc.
PO Box 14070
Portland OR, 97297

Please note: Mailing will extend approval due to intransit time.