2012 NORTH DAKOTA GOOD SAM SAMBOREE

WILLISTON, NORTH DAKOTA

VENDOR REGISTRATION FORM

 

Early Bird:  20, 21, & 22 August 2012                                                          Samboree Aug 23-26, 2012

 

Our Samboree will include Tours, Seminars, Musical Jam Sessions, Competitive Games, Samgo, Pancake Breakfast, Craft Sale, Flea Market, Silent Auction, Banquet (optional), Entertainment, Worship

 

Directions: Fairgrounds Williston, ND 

 

NOTES:  All persons in each rig must come to the registration table to receive their wrist bands.  Emergency telephone Number is 911.   Early Bird parking begins Monday, 13 Aug.  Potluck dinner will be Tues evening (bring covered dish to share and your own eating utensils) followed by State Committee meeting. 

 

BUSINESS NAME:  ______________________________________________________

REPRESENTATIVES:  ____________________________________________________

  TYPE OF PRODUCTS:  __________________________________________________

WILL GIVE SEMINARS/CLASS?___________________________________________

WILL GIVE DOOR PRIZES?_______________________________________________

CONTACT TELEPHONE:  ________________________________________________

MAILING ADDRESS:  ____________________________________________________
STATE/PROVICE:  _______________________________________________________

HANDICAP (MUST HAVE PERMIT) _______________________________________

RV TYPE  __________________________       RV LICENSE ______________________

TOW VEHICLE ______________                    LICENSE__________________________

 

REGISTRATION FEES:

     SAMBOREE FEE BY AUG 1            ($60.00) 2 ADULTS 3 NIGHTS CAMPING + 2 Free Breakfasts ea             $____________

                                                                   ($50.00) 1 ADULT 3 NIGHTS CAMPING + 2 Free Breakfasts             $____________

    SAMBOREE FEE  AFTER AUG 1  ($65.00) 2 ADULTS 3 NIGHTS CAMPING + 2 Free Breakfasts ea.   $____________

                                                                   ($55.00) 1 ADULT 3 NIGHTS CAMPING + 2 Free Breakfasts                     $____________

    ADDED FAMILY MEMBER       ($10.00) PER PERSON INCLUDES 2 Free Breakfasts                       $____________

                                                                       (CHILDREN UNDER 12 FREE)

   VENDOR FEE                                      ($25.00) includes 2 tables and 2 chairs                                                            $____________

    EARLY BIRD FEE                              ($7.00) PER NIGHT PAYABLE AT REGISTRATION                    $____________

    BANQUET SAT EVE                        ($15.50) PER PERSON PAYABLE WITH REGISTRATION            $____________

 

Processing fee for cancellations is $5.00 prior to Aug 10, 2012; no refunds for cancellations received during week of Samboree.

 

               

MAKE CHECKS PAYABLE TO:   North Dakota Good Sam

SEND PRE-REGISTRATION TO:  North Dakota Good Sam

                                                                     Don Strube                          701-838-2388

                                                                     5300 42nd St Se                               strube99@srt.com

                                                                     Minot, ND 58701

 

I, the undersigned, accept full responsibility for our unit and all persons in our unit while attending the North Dakota Samboree and hold the North Dakota Good Sam Club and its designated officials blameless for any claims for personal injury or damage to any camping or driving unit.

 

 

Signature _______________________________________  Date  ______________________

 

CHECK OUR WEB SITE FOR FUTURE UPDATES AND MORE DETAILED INFORMATION REGARDING

SEMINARS, TOURS, AND ENTERTAINMENT