* ON THE BORDER *
April 12 - 15, 2016
Four States Fairgrounds
3700 E. 50th Street, Texarkana, AR. 71854
You may fill out this form online, print and mail in your pre-registration fees.
You are invited to Participate in our Arkansas State Rally with a Commercial Exhibit Space.
Cost per space (10' X 10') is $130.00, Which includes registeration fee.
Additional spaces are $65.00 per space.
Please bring the tables you need, as the Number of tables we have are limited!

FACILITIES: Limited Electric & Water - Dump Station - Honey Wagon - Showers
LIMITED FULL HOOK UPS - ARRIVE WITH EMPTY HOLDING TANKS
PARKING: Early Parking will be $17.00 per night thru Wednesday Night, payable when you arrive.
You may come as early as Sunday, April 10, 2016.
You will be parked by The State Wagon Master and his Staff.
Prior to Sunday, a holding area is available in the front of the Fairgrounds Office.
All Pets MUST be on a Leash. No Pets in the Building. Pets Poop, You Scoop.
REFUNDS: Refunds will be made (less $10.00) or full transfer to next Arkansas RV Rally, if requested 30 days in advance.
Fees are due by April 1, 2018

Number of Spaces Needed: Total Cost: Enclosed
Good Sam Number: Expiration date: If You are a Good Sams Member
Firm Name:
Street Address:
City State Zip
Phone
E-mail
We will be Selling:.

Would You give a Seminar? ** YES NO 
* * If Yes, please reply by 30 Days Prior to the RALLY, so it can be put on the schedule. * *
To Increase additional Interest, We will be furnishing a DOOR Prize YES NO 
Firm's Representative:

Electronic Signature: Date:

 
The Arkansas Goodsams Rally reserves the right to refuse registration and/or admittance to anyone.

Copyright 2008 Arkansas Goodsams. All rights reserved. Revised: 5/6/2015

Make check payable to: Arkansas State RV Rally and Mail form to:
Melinda Wiggs, Registrar
2501 Skyline Point
Jonesboro, AR 72404
Phone# 870-972-0951
skyline2501@yahoo.com

Your confirmation information will be sent via mail.