Saskatchewan Provincial Good Sam Sam 

                           Humboldt, Saskatchewan.

                             June 9 – 13, 2010

Notations:        1. Dump on site, 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, 2010 for a chance to win a free registration.

                        6. Registration must be paid in full at time of application.

 Cut Here --------------------------------------------------------------------------------------

 2010 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, 5^th wheel, Motorhome)

 Special Needs: Type of Disability _____________  Electrical required Yes ____   No_____ 

Notification of Cancellation will be Honoured and Refunds will be made.

Registration must be paid in full at time of application.

Registration Fees- Power Extra                                  Mailing Instructions

RV with 2 adults    $ 99.00                 _________             Registrar

RV with 1 adult      $ 74.00                 _________            Marcia Shalley

Additional adult     $ 50.00                 _________            #303- 1123 Devonshire Dr. N

Electric                 $ 40.00                  _________           Regina, SK   S4X 4H9

(Banquet & Pancake Breakfast included in above rates)                                                                Phone 306 545-6606

                                                                              E-mail: dmshalley@sasktel.net

                                      TOTAL      _________           Make Cheques Payable to:

                                                                                          Saskatchewan Samboree 2010