2019 NORTH DAKOTA SAMBOREE REGISTRATION FORM
Early Bird Aug 05 - Aug. 07, 2019 Good Sam Membership NOT Required to attend this RV Rally (Samboree)
Samboree Aug 08 – 11, 2019 “Mining for Good Sam Members in Beulah”
CIVIC CENTER BEULAH, ND
Our Samboree will include entertainment, door prizes, raffles, breakfast, coffee & cookies, games, vendors, flea
markets, craft tables, pot luck supper on Tuesday night (bring covered dish to share and your own eating utensils)
banquet (opt),seminars & tours. Note: A person from each rig must come to registration to receive their wrist bands.
Please do not send registrations after July 30. We spend Samboree week on site and are not home to receive
them. Walk-ins must register and pay day fees of $8.00 per person. Saturday day passes at $10.00 per person.
Early bird fees start Monday night, August 05, 2019. Limited 20 amp electrical available on site.
EXTRA ADULT NAME(S) FOR WRIST BAND______________________________________________
CHILD/TEEN/GRANDCHILD NAME FOR WRIST BAND_____________________________________
GOOD SAM #___________EXP DATE__________CHAPTER_________________PHONE___________
EMAIL ADDRESS_____________________________HANDICAP PARKING/ WITH PERMIT________
TOW/TOWED VEHICLE TYPE_________________________________LICENSE___________________
1st Samboree Yes First North Dakota Samboree Attended Yes (circle yes to either or both).
Pre-registration by Aug 5; 2 persons per rig (3 nights + 2 free breakfasts)$60.00__________________
Pre-registration by Aug 5; 1 person per rig (3 nights + 2 free breakfasts) $50.00__________________
After Aug 5, additional $5.00 for registration per rig $5.00__________________
Additional family members $10.00 each, Children under 12 free $10.00__________________
Banquet, Saturday evening $15.00 per person $15.00__________________
Early Bird Parking $14.00 per day payable at Registration (for current update check NDGS website). ____________.
Processing fee for cancellations is $5.00 prior to August 5, 2019; no refunds for cancellations received during
the week of the Samboree.
MAKE CHECKS PAYABLE TO: NORTH DAKOTA GOOD SAM. YOUR CANCELLED CHECK
WILL BE YOUR RECEIPT. Send pre-registration to:
NORTH DAKOTA GOOD SAM
Olivia Hatzenbihler phone 701-989-0074 Harry Bieber, “webmaster”
2720 28th St. [email protected]
Mandan, ND 58554
I, the undersigned, accept full responsibility for our unit and all persons in and out of our unit while attending the North Dakota Samboree, and hold the
North Dakota Good Sam Organization, and it’s designated officials, blameless for any claims for personal injury or damage to any camping or driving units.
Check our WEB site for future updates and more detailed information. (www.freewebs.com/ndgoodsam) .