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Start Date: 2024-09-12 Departure Date: 2024-09-16
Same as National Muster -Contact SMART HQ
Sponsor(s): Nomads
Host: Diane Pepperell Phone: (480) 440-1422 Email: Diane.pepperell@yahoo.com
Muster Costs:
Single Cost: $0.00 Couple Cost: $0.00 Couple + Guest Cost: $0.00
An entry in all fields shown in the registration form is required.
Pilot: SMART#:
Copilot: SMART#:
Home: Pilot's Mobile: Copilot's Mobile:
Pilot's Email:
Street
City State Zip
Please provide at least one emergency contact other than your Copilot.
Notify: Phone: Relationship:
RV Type: Make:
Model: Length:
I tow a vehicle behind my motor home. Total length of tow and towing vehicles:
Attendees: One Person $0.00.00 Two Persons $0.00.00 Two plus Guest $0.00.00
I (We) are first time attendee(s).
Guest Name: Enter guest first and last names or “None.”
Planned Arrival: Planned Departure:
Handicap Parking 30 Amps 50 Amps
Do you or your traveling companion use any of the following, cane, walker, electric wheel chair, scooter, C-PAP?
If Yes, please indicate which one(s):
Special Diet Needs
His:
Hers:
I will volunteer to help at the Muster
Tour#1 Potluck Gathering - Cost: $0.00
Join the chapter for a potluck on Friday September 13th at 5:00 PM Location to be determined. Total: $
Tour#2 Carriage Ride Through Charleston - Cost: $50.00
A Carriage Ride is currently Scheduled for 11 AM on Saturday Sept 14th. Group will leave the campground around 10 AM to drive to the pickup point. Contact Joe Padberg if interested. Total: $
Tour#3 Chapter Meeting - Cost: $0.00
The NOMADS Pre-National general meeting will be held Sunday at 1 PM. Location to be determined. Total: $
In consideration for my (our) attendance, I (We) hereby release and agree to indemnify and hold harmless SMART, its officers, directors, employees, agents, successors, and assigns from any and all liabilities, claims, losses, and/or damages arising from my (our) attendance at this event.
All attendees must read and sign this form.