GOOD SAMS OF FLORIDA, INC. 2011 FALL SAMBOREE
                                       
THANKSGIVING is the Theme
                                    SOUTHERN PALMS RV RESORT
             NOVEMBER 16-20 (Wed-Sun) EARLY BIRD-Tues. November 15, 2011
                                     State Committee Meeting on Thursday November 17, 2011
                                             ONE AVOCADO LANE, EUSTIS, FLORIDA 32726


REGISTRATION FEE INCLUDES: 4 nights camping with water, electric and sewer  (Bring extra
electric cords and hoses as a precaution
.)  Daily hospitality, Samgo, Door prizes, crafts and flea
market, seminars, Samboree Bars, RV Dealers, vendors, entertainment, and MUCH MORE.
                  THERE WILL BE NO REFUNDS FOR “NO SHOWS”
CANCELLATIONS There will be a processing fee for all cancellations based on cancellation date:
                                             
Prior to September 15th                                   $10.00
                                             September 15th thru October 14th                $15.00
                                             October 15th and forward                                $25.00
****All cancellations and refund requests must be in writing from YOU and mailed to
Bob Ward, State Director or Linda Voyton before the samboree ends  WE CAN NOT    
HAVE CANCELLATIONS AFTER THE SAMBOREE, AND EXPECT TO GET A REFUND.  NO
TRANSFERS TO ANOTHER SAMBOREE.
                                              *****NO CATERED MEAL*****
                         NO DEDUCTIONS FOR EARLY DEPARTURE.
                                WE WILL HAVE CHAPTER PARKING
       Handicapped spaces will only be provided for our Handicapped members with proper credentials.
         PLEASE INDICATE WHETHER YOU WANT TO PARK WITH YOUR CHAPTER OR IN HANDICAPPED
                                                                          SPACES.     (NOT BOTH)
Unregistered late arrivals may not be parked with their chapter.**Registration 9-5 NO LATE ARRIVALS**
    ****IMPORTANT!!  ARRIVE WITH TOWED VEHICLE UNHOOKED***
           MAKE ALL CHECKS PAYABLE TO:  GOOD SAMS OF FLORIDA, INC.
                  RETURN LOWER PORTION OF THIS FORM WITH FEES TO:
                        Bob Ward, P. O. Box 348, Nobleton, FL  34661-0348
                      Email:                                                   Phone# (352) 585-3677
.......................................................................................................................................................
NAME________________________________
 _______________  ___________________________
Last                          First                                                              Good Sam #           Chapter Name or Handicapped
ADDRESS ___________________________________    __________________________    ____________
            Street                                                                            City and State                                                   Zip
Handicapped#________________________________    Rig Length _____ Rig Type ___________________
# of Adults  _____    # of Children_____                                                                         (A, B, C, trailer, 5th wheel)
                                                    
SAMBOREE FEE - 2011 FALL SAMBOREE
PREPAID REGISTRATION ($110.00)  $_________                           Phone # ____________________________
EARLY BIRD                          ($22.00)   $__________   
SINGLE PERSON RIG        ($100.00)   $_________           E-Mail address _____________________________
EXTRA ADULT ____             ($22.00) $_________            PRINT CLEARLY - (used for confirmation only)
REGISTRATION AT GATE ($115.00)  $_________                            (children under 12 are free)
TOTAL FEES FOR Fall Samboree       $_________    
                      IS THIS YOUR FIRST
FLORIDA SAMBOREE?  YES __  NO __
NOTE:
We the undersigned understand the Florida Good Sam State Staff has taken reasonable and necessary safety
precautions.  Therefore, we accept full responsibility for the welfare of our unit and all persons in our unit while attending
the Florida Samboree.
DATE: _________________                                SIGNATURE: _____________________________________
                           We, Florida Good Sams Inc.,  reserve the right to refuse any application.