Saskatchewan Provincial Good Sam Samboree
Weyburn, Saskatchewan.
June
6 - 10, 2012
Notations:
1. If
groups wish to park together, they must arrive together. No exceptions.
2. Gates will not be open until
3. Register before January 31, 2012 for a chance to win a free
registration.
4. Registration must be paid in full at time of application.
5. Refunds after May 15, 2012 will be provided for medical reason.
6.BE SURE YOUR FRESH WATER TANK IS FULL
Cut Here ---------------------------------------------------------------------
2012 Registration
Pilot _____________________________ Co-Pilot _________________________________
(Last
Name)
(First Name)
(Last Name)
(First Name)
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
________________________________________________________
Special Needs: ___________________
Electrical required
Yes ____
No_____
Mobility only ___
Registration Fees- Power Extra
RV with 2 adults $109.00 __
RV with 1 adult $ 84.00 ____________
Additional adult $ 25.00 ____________
Electric only $ 40.00 ____________
(Banquet & Pancake Breakfast included in above
rates)
Total Cost
Registrar
Kathy Henfrey,
Phone 306 543-9801
Make Cheques Payable To: