NORTH DAKOTA GOOD SAM SAMBOREE

AUGUST 19-23, 2009

DEVILS LAKE, ND

VENDOR REGISTRATION FORM

 

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: Arriving on Hwy 2 east, turn right on College Dr N and follow for 1.7 mi; turn left into college and follow signs; from the west, turn left at 4th St NE/Hwy 19 and follow for .3 mi; turn left on College Dr N and follow for 1.9 mi; turn left into college and follow signs. College address: Lake Region State College, 1801 College Dr N, Devils Lake, ND 58301.

 

NOTES: DRY CAMP, EXCEPT FOR MEDICAL NEEDS. 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, 17 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) ______ REQUIRE ELECTRIC HOOKUP ______

RV TYPE __________________________ RV LICENSE ______________________

TOW VEHICLE ______________ LICENSE__________________________

 

REGISTRATION FEES:

SAMBOREE FEE BY AUG 1 ($50.00) 2 ADULTS 3 NIGHTS CAMPING + 2 Free Breakfasts ea $____________

($40.00) 1 ADULT 3 NIGHTS CAMPING + 2 Free Breakfasts $____________

SAMBOREE FEE AFTER AUG 1 ($55.00) 2 ADULTS 3 NIGHTS CAMPING + 2 Free Breakfasts ea. $____________

($45.00) 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 ($10.50) PER PERSON PAYABLE WITH REGISTRATION $____________

 

Processing fee for cancellations is $5.00 prior to Aug 15, 2009; 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 [email protected]

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

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