Below is the sign up sheet for the Pre-rally before the Perry GA Rally. If you highlight the text and paste it into a word or works file you can then print it out and send it to us with the rally fee.
John is also sending it out as an attachment in a mass e-mail. Hope to see many of you at the rally. Check for more information later. We will post a schedule of what we will be doing and where we are eating.
FMCA ELK ITERNATIOAL CHAPTER RALLY REGISTRATION FORM
MILITARY VETERAS CHAPTER JOINT RALLY
Dates of Rally: ____March 7-10, 2014________________
Rally Information: Name of RV Park/Resort: _Lake Pines RV Park______
Address: __6404 Garrett Rd. , Midland, GA 31820______
Telephone: 706-561-9675___ E-mail: _info@lakepines.net_____
Website: ___www.lakepines.net______________
Wagon Masters:
John and Carol Lee
Address: 111 Twin Oak Dr, Florence, AL 35633
Telephone: __256-366-5974 Cell 256-366-6630
Email: skp45322@hotmail.com
Personal Information
Name:______________________________Spouse_________________________________
Guest 1:____________________________Guest 2:________________________________
Address:____________________________________________________________________
City:_______________________________ State:_______ ZIP+4______________________
E-mail:______________________________________________________________________
Telephone:__________________________________________________________________
FMCA#:______________(Membership Dues must be current for FMCA , Military Veterans Chapter &/or Elk International) Member of: Elk International Yes No MVC Yes No
Cost of the Rally/Registration Deadline:
NO later than ___February 6, 2014____
RV Unit (2) People $__100.00____
RV Unit (1) Person $___60.00____
Each Additional Person $___40.00__
Full amount Due with application
Unit Information
Model __________________ Length______ Slides (#)______ Towing __________________
License #__________________ License # on Toad__________________
Please make check payable to the Wagon Masters (named above) and mail to:
John Lee
111 Twin Oak Dr., Florence, AL 35633
Rally confirmation will be by email unless you indicate otherwise
Is this your first Elk Intl Chapter Rally? [ ] Yes [ ] No Or MVC Rally? [ ] Yes [ ] No
You must make reservations with Lake Pines Campground for ALL Camping.
DO NOT INCLUDE PAYMENT FOR CAMPING WITH REGISTRATION FEE
To make reservations for extra night (s) of camping, please contact the RV Park directly.
*** EMERGENCY CONTACT INFORMATION ***
Contact Name: ________________________________________Phone #:______________________
Do You Know CPR? ( ) Yes ( ) No
Are You First Aid Certified? ( ) Yes ( ) No
