AVA Insurance Requests 2023/06/28
    IDs: R3197


Insurance AVA RequestID: R3197   Due Date: 07/07/2023   Request Date: 06/26/2023

Event Information
Request #: R3197
Event #: 123975
Event: Walk
Location: Portland, OR
Date: 07/15/2023 - 07/15/2023
Club: AVA-0549 Cedar Milers
Contact Information
Dan Webster
(503) 591-5893
cedarmilerswalkingclub@gmail.com
1195 Sw Jay Ct, Aloha, OR 97003
Additional Insured: 1
Leedy Grange #339
Meeting Spot to support OTSVA
835 Nw Saltzman Rd.
Portland OR, 97229