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:
Linda Boucher
P.O.Box 297
Burnet, TX 78611
512-756-3258
lindab@tstar.net
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
Please e-mail me if you
are coming:
lindab@tstar.net
even if I have received
your check. Trying to
get a head count for
the caterers.

Antique Capitol
RV Park
500 South Loop 485
Gladewater, TX

903-845-7378
NAME:
 
FMCA #:
 
Parking Fee $31.50
Make your
reservations and
pay at the office
upon arrival,
early arrivals pay
rally price.
Total Enclosed : $____________