"Welcome to our Michigan Luau" Michigan Summer Registration Form
Name:
Address:
G.S. #
Phone #:
Type Unit:
City:
State:
Zip:
Make:
First Samboree:
Unit Lic #:
Vendor:
First MI Samboree?:
Chapter Name:
Handicapped?
Adults:
Children (>13:
Teens (13-18):
Checks payable to: Michigan Good Sam Organization, print and send this registration form with fee to: Christine Farr, 16400 Upton Road # 99, East Lansing, MI 48823-9305. Deadline for pre-reg is June 27, 2008.
Country:
Expires:
If Yes, Hdcp Lic #:
Registration Fee:
Extra nights: @ $15.00:
Extra Adults @ $10.00 each
Craft Table Rental:
Vendors Fee:
Total U.S. Funds Enclosed:
We, the undersigned, understand the Michigan Good Sam State Committee has taken reasonable and necessary precautions, and therefore, we accept full responsibility for our unit and person's with our unit while attending the Michigan "Welcome to our Luau" Summer Samboree at Allegan, MI.
