RALLY REGISTRATION FORM
Lone Star Chapter
PHONE:
 
CELL:
 
ADDRESS:
 
CITY:
 
STATE:
 
ZIP:
 
EMAIL ADDRESS:
 
ARRIVAL DATE:
 
DEPARTURE DATE:
 
Print this form, complete it and mail with check made payable to:
Make check payable to Herman Mullins
mail to:
Herman Mullins
P.O.Box 1065
Whitewright, TX 75491
Coach with 2 Occupants - $ 70.00
Coach with 1 Occupant or Extra Person - $35.00
HANDICAP:
 
COACH LENGTH:
 
POWER PREFERENCE:

All sites are 30/50 amps
Requested back
by
May 10, 2019

Lagoons
RV Resort

Rockport, TX

361-729-7834
NAME:
 
FMCA #:
 
Remember to
make your own
reservations
Parking Fee:
$42.00 night
Pay at office
upon arrival
Total Enclosed : $____________