2018 ARKANSAS STATE RV RALLY* REGISTRATION
*Formerly known as Arkansas State Samboree
* ON THE BORDER *
April 12, 13, 14, 15, 2018
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.
ACTIVITIES: Hospitality - Arts & Crafts - Flea Market - Samgo Cash Prizes - Ice Cream
GAMES COMPETITION - Commercial Venders - LIVE Entertainment - Golf Scramble
FACILITIES: Limited Electric & Water - Dump Stations, Honey Wagon & Showers
LIMITED FULL HOOKUPS - ARRIVE WITH EMPTY HOLDING TANKS
PARKING: Early Bird Parking $17.00 per night, payable when registering, you may arrive as early
as 1:00PM Sunday, April 8, 2018. Come together, Park together. You will be parked by the State
Wagon Master and his Staff. A holding area, Prior to Sunday is available in the front of the Coliseum.
All pets MUST be on a Leash, No Pets in Buildings, PETS POOP, YOU SCOOP
Refunds will be made (less $10.00) or FULL Amount Transfered to Next Arkansas RV Rally If Requested 30 Days in Advance
Pre-Registration must be received by April 1, 2018
Games Begin on Wednesday, April 11
First NameSpouse's NameLast Name Street AddressCity
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State/ProvinceZip/Postal CodeHome Phone E-mail Good Sam member number: No Expiration date: If you're a member of an Arkansas Chapter, Enter the chapter name. Is this your first Samboree? Yes
No
Do You Require Handicap Parking? Yes
No
HC #
Is this your first Arkansas Samboree? Yes No
Enter children's names & ages (under 18-no charge).
Please refer to the appropriate Arkansas RV Rally fee amounts below:
1 Rig with 2 Adults, Pre-Registered............................... $70.00
1 Rig with Single Adult.............................................. $60.00
Working Man's Special: Friday & Saturday.........................$50.00
Each Additional Adult................................................ $10.00
If not Pre-Registered, $5.00 will be added.........................$5.00
Enter the amount for each additional person over your rig fee:
Enter the total fees included with this pre-registration form: Make check payable to:
AR.G.S. State Treasurer
Mail form to:
Melinda Wiggs, Registrar
2501 Skyline Point
Jonesboro, AR 72404 Phone: 870-972-0951 - skyline2501@yahoo.com
By your signature you understand and agree to abide by the terms and conditions indicated below.
I/We understand The Arkansas Good Sam Organization has taken Reasonable and Necessary precautions and,
I/We accept full responsibility for the welfare of my/our unit and all persons therin while attending the Arkansas RV Rally.
Signature_____________________________________________ Date_____________
The Arkansas Goodsams reserves the right to refuse registration and/or admission to anyone.