2008 Kansas Fall Samboree Pre-Registration
IMPORTANT: Forms must be received by Sept. 17, 2008 to ensure return of confirmation materials.


Last Name__________________________________________First____________________Spouse__________________

Address_________________________________________________City___________________State_____Zip_________

Phone________________________________Chapter_______________________________________________________

Good Sam Number___________________________________________________Expiration Date___________________
 
Prices
You can also register at the Samboree for an additional $10.00
o 1 RIG w/2 Adults   $60.00   $________
o 1 RIG w/1 Adult   $50.00   $________
o Additional Persons, 12 & over   $20.00   $________
    ____________________
   

Total

   $________
NOTICE:
There will be a $10.00 cancellation fee for cancellations after Sept. 17
Cancellations must be in writing. No refunds for no-shows..

Early Bird Parking
$15.00 per night Payable at Registration Desk
 
Golf
Number of players ________

Golf cart    o Yes  o No
Help Us
First time at Samboree?  o Yes  o No

First time at Kansas Samboree?   
o Yes  o No

If you don’t belong to a Kansas chapter, would you be interested in joining one?   o Yes  o No

Make Checks Payable to:
KANSAS STATE SAMBOREE

Print and Mail Registrations to:
Marty Ward, Samboree Registrar
2201 E. MacArthur E-3
Wichita, KS 67216-5614
E-mail:leward@cox.net

Phone: 316.213.8297

I (We) the undersigned understand the Kansas Good Sam Organization has taken reasonable and necessary safety precautions and I (we) accept full responsibility for the welfare of my (our) unit(s) and all persons in our units while attending the Kansas Samboree.

SIGNATURE____________________________________