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Penn Coachmen Chapter of FMCA

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Rally Registration Form

Bloomsburg Fairgrounds, Bloomsburg, PA

August 17 - 19, 2018

"9th Annual Grandkids Weekend"

 

                Name       Reservations by August 6, 2018
         FMCA No. 
                Phone 
 E-mail address               Pay your dues for 2019 at this rally.
Day you plan to arrive at Rally  

Rally registration fee - $50.00.  Balance of fees will be collected at the rally.

An additional $10.00 will be charged for rally if registration is postmarked after August 6, 2018.

 

Make Checks payable to Penn Coachmen, print this page and mail to:

                                       Harold Amos

                                      13 Hemlock Dr.

                                       Mechanicsburg, PA 17055

                                       (717)766-2640   Cell: (717)856-3472

 

Number of Catered Dinners  

Number of Kids under 13  

Length of Unit  

Handicap Parking Needed           No      Yes

First Time at Penn Coachmen Rally      No      Yes

 

Names of any Guests