Ice Cream Social/Get Aquainted Part 7:00 PM
BUSSIN' 2007 Registration Form
Name___________________________ Spouse/Companion________________________
Address_________________________________________________________________
City_____________________________ State________________ Zip Code__________
Phone:___________________________Email__________________________________
BUS: Make_______________ Model_____________________ Year_______________
Parking area desired: No Generator Area__________ 24/7 Generator_________
Occasional Generator (no generator from 10 PM to 7 AM)___________
Handicap_________ Vendor__________
Vertical Stack: YES_________ NO__________
FMCA Number (If Applicable)_____________________
Would You Like To Volunteer? Parking_______ Serving_______ Misc.________
Would you like to do a seminar or craft? Subject/craft________________
Date You Plan To Arrive _____________________
Rally Fee: Before December 1, $40.00 After December 1, $50.00 Rally Fee _______
Additional People: Number_______@ $20.00 each _______
(Children Under 12 Are Free)
Camping Fee:
Dry Camping $5.00 per night _______
TOTAL _______
Check Number_________________ Cash_______________
Please make checks out to Jack Conrad. Rally fees should be mailed to Jack Conrad, 1538 SE West Farms Road, Arcadia, Florida 34266
If you have any additional questions, you can contact us by mail at this address or phone (863) 993-3683, FAX (863) 993-9351, Cell (863) 444-3400 or email
jconrad@desoto.net