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GOOD SAMS OF FLORIDA, INC. 2012 WINTER SAMBOREE
RODEHEAVER BOYS RANCH
380 BOYS RANCH ROAD, PALATKA, FL 32177-9491 386-325-5646
FEBRUARY (Wed-Sun) 29, 2012- MARCH 4, 2012 EARLY BIRD-Tues. FEBRUARY 28, 2012
THEME : GARBAGE BAGS AND DUCT TAPE
Special State Committee Meeting on Thursday March 1, 2012
REGISTRATION FEE INCLUDES: 4 nights camping with water, & electric NO SEWER
Daily hospitality, Samgo, Door prizes, Crafts and Flea market, Seminars, Samboree Bars, RV Dealers,
Vendors, Entertainment, and MUCH MORE.
CANCELLATIONS There will be a processing fee for all cancellations based on cancellation date:
Prior to December 14th $10.00
December 15th thru January 14th $15.00
January 15th and forward $25.00
THERE WILL BE NO REFUNDS FOR “NO SHOWS”OR CATERED MEALS
All cancellations and refund requests must be in writing from YOU and mailed to Bob Ward, State Director.
NO DEDUCTIONS FOR EARLY DEPARTURE.
WE WILL HAVE CHAPTER PARKING
Be sure to bring extra electric cords and water hoses. 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**
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 - 2012 WINTER 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)
CATERED DINNER ___@ (12.00) $ 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.
RODEHEAVER BOYS RANCH
380 BOYS RANCH ROAD, PALATKA, FL 32177-9491 386-325-5646
FEBRUARY (Wed-Sun) 29, 2012- MARCH 4, 2012 EARLY BIRD-Tues. FEBRUARY 28, 2012
THEME : GARBAGE BAGS AND DUCT TAPE
Special State Committee Meeting on Thursday March 1, 2012
REGISTRATION FEE INCLUDES: 4 nights camping with water, & electric NO SEWER
Daily hospitality, Samgo, Door prizes, Crafts and Flea market, Seminars, Samboree Bars, RV Dealers,
Vendors, Entertainment, and MUCH MORE.
CANCELLATIONS There will be a processing fee for all cancellations based on cancellation date:
Prior to December 14th $10.00
December 15th thru January 14th $15.00
January 15th and forward $25.00
THERE WILL BE NO REFUNDS FOR “NO SHOWS”OR CATERED MEALS
All cancellations and refund requests must be in writing from YOU and mailed to Bob Ward, State Director.
NO DEDUCTIONS FOR EARLY DEPARTURE.
WE WILL HAVE CHAPTER PARKING
Be sure to bring extra electric cords and water hoses. 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**
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 - 2012 WINTER 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)
CATERED DINNER ___@ (12.00) $ 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.