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Nipawin, Sask.
June 10 – 14, 2009
Web Site: www.saskgoodsam.com
Notations: 1. No dumps are on site, however septic service will be available for a nominal fee.
Rates will be posted at the Samboree.
2. Generator hours 7:00am – 9:00am, 11:00am – 1:00pm, 5:00pm – 9:00pm.
3. If groups wish to park together, they must arrive together. No exceptions.
4. Gates will not be open until 8:00am Wednesday.
5. Register before January 31, 2008 for a chance to win a free registration.
6. Registration must be paid in full at time of application.
Cut Here -------------------------------------------------------------------------------------------------------
2009 Registration
Pilot ________________________________ Co-Pilot ________________________________________
(Last Name) (First Name) (Last Name) (First Name)
Address ______________________________ City ___________________________ Prov./State _____
Postal/Zip ______________ Telephone ___________________________ E-mail ____________________
Good Sam Chapter ______________________________ Good Sam Membership #____________________
First Time Samboree? Yes ___ No ___ How Many Samborees have you attended? ___________________
Extra Guests Names ________________________________________________________
Type of RV ______________________________ Length _________ License of RV __________________
(Trailer, 5th wheel, Motorhome)
Special Needs Considerations: Wheelchair Accessibility ____________ Electrical required ____________
NO REFUNDS AFTER JUNE 1, 2009
Registration must be paid in full at time of application.
Registration Fees Mailing Instructions
RV with 2 adults $114.00 ____________ Registrar
RV with 1 adult $ 89.00 ____________ Marcia Shalley
Additional adult $ 50.00 ____________ #303 1123 Devonshire Dr. N
Teenager $ 40.00 ____________ Regina, SK S4X 4H9
(Banquet & Pancake Breakfast included in above rates) E-mail: dmshalley@sasktel.net
TOTAL ____________ Make Cheques Payable to:
Saskatchewan Provincial Good Sam
