2020 ARKANSAS STATE RV RALLY* REGISTRATION
*Formerly known as Arkansas State Samboree

* CELEBRATIONS *

April 16, 17, 18, 19, 2020

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 $19.00 per night, payable when registering, you may arrive as early
as 1:00PM Sunday, April 12, 2020. 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 March 31, 2020 Games Begin on Wednesday, April 15
First Name Spouse's Name Last Name
Street Address City <
State/Province Zip/Postal Code Home 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................................................. $75.00
1 Rig with Single Adult...................................................................... $65.00
Working Man's Special: Friday & Saturday......................................$55.00
Each Additional Adult........................................................................ $15.00
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:
Helen Tinkle, Registrar
96 Grant 533
Hensley, AR 72065
Phone: 501-680-3398 – Email: helen.tinkle@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 therein while attending the Arkansas RV Rally.

Signature_____________________________________________ Date_____________
The Arkansas Goodsams reserves the right to refuse registration and/or admission to anyone.