PA STATE WIT

PA State WIT

A Winnebago Itasca Travelers State Club

HOME - 2011 RALLY - RALLY REGISTRATION - 2011 CAMPOUTS - TRW News - LETS News

Note: The Rally Registration Form will be updated with costs as soon as the planning committee provides the 2012 information! At that time information will also be published in the WIT magazine.

PA WIT State Rally Registration Form
June 7-10, 2012
Centre Hall, PA

Name:_________________________________ Spouse/Companion:____________________________
WIT #:____________ E-Mail Address:________________________ Cell Phone #:___________________
Address:______________________________________________________________________________
City: _________________________ State:____________ ZIP:______________
Model Year:___________ Motor Home Length :___________ Number of Slides:_________
First Time? (Y/N)       Home State:____________________________
Vendor? (Y/N)   Name of Company:_______________________________________________________
If you are a vendor and have not already done so, please contact Kathy Plant, telephone 330-634-6167 or e-mail katplant@sbcglobal.net.

Local Club/Chapter Membership: _____________________   President of a Club or Chapter? (Y/N)
SPECIAL NEEDS: In order to receive any consideration for a special need, it must be noted on this application. Please specify the need, i.e., dietary, mobility, parking or other considerations that would help us to better serve you at this rally: ____________________________________________________ _____________________________________________________________________________________
RALLY COSTS:
Registration Fees: (TBD)                                                    $_________
Number of additional adults or children (11 years of age and older) ____ X TBD = $__________
Arrival Date*:__________                          Additional days parking _____ X TBD = $__________
*The Registration Fee includes three nights of camping with water and 30 amp electric hookups. Early arrivals are welcome.
                                                                                                 Total Amount Enclosed: $________
Send the Registration Forms and all fees to Daniel Gates, 250 E. Cedar Street, Elizabethtown, PA, 17022. Make checks payable to PA State WIT Club.


PA State WIT A Winnebago Itasca Travelers State Club HOME - 2011 RALLY - RALLY REGISTRATION - 2011 CAMPOUTS - TRW News - LETS News Note: The Rally Registration Form will be updated with costs as soon as the planning committee provides the 2012 information! At that time information will also be published in the WIT magazine. PA WIT State Rally Registration Form June 7-10, 2012 Centre Hall, PA Name:_________________________________ Spouse/Companion:____________________________ WIT #:____________ E-Mail Address:________________________ Cell Phone #:___________________ Address:______________________________________________________________________________ City: _________________________ State:____________ ZIP:______________ Model Year:___________ Motor Home Length :___________ Number of Slides:_________ First Time? (Y/N) Home State:____________________________ Vendor? (Y/N) Name of Company:_______________________________________________________ If you are a vendor and have not already done so, please contact Kathy Plant, telephone 330-634-6167 or e-mail katplant@sbcglobal.net. Local Club/Chapter Membership: _____________________ President of a Club or Chapter? (Y/N) SPECIAL NEEDS: In order to receive any consideration for a special need, it must be noted on this application. Please specify the need, i.e., dietary, mobility, parking or other considerations that would help us to better serve you at this rally: ____________________________________________________ _____________________________________________________________________________________ RALLY COSTS: Registration Fees: (TBD) $_________ Number of additional adults or children (11 years of age and older) ____ X TBD = $__________ Arrival Date:__________ Additional days parking _____ X TBD = $__________ The Registration Fee includes three nights of camping with water and 30 amp electric hookups. Early arrivals are welcome. Total Amount Enclosed: $________ Send the Registration Forms and all fees to Daniel Gates, 250 E. Cedar Street, Elizabethtown, PA, 17022. Make checks payable to PA State WIT Club.