NORTHWEST REGIONAL RALLY REGISTRATION FORM
May 17-
After May 1 fees increase $30 per unit
Name:_________________________________________ Spouse Companion
Address:_______________________________________ Home Phone:
City, State, Zip__________________________________ Cell Phone:
WIT#___________________ Local Club/Chapter Involved in:
E-
Check if Handicapped Parking is needed ____ Motor Home: Year_____ Length______ #Slides_____
Check if this will be the first NWRR you have attended _____
It’s a party Amigos Arrival Day Water & Electric Full Hookup
Tuesday (May 15) ____$165.00 ____$190.00
Wednesday (May 16) ____$145.00 ____$165.00
Thurs/Fri/Sat
(May 17, 18,19,) ____$125.00 ____$140.00
Deduct for Single ____($30.00) ____($30.00)
Add $35 each for
____extra persons $_____________ $_____________
Add Late Fee after May 1 $ 30.00 $ 30.00
TOTAL ENCLOSED $_____________ $_____________
(U.S. Funds)
No time for a Siesta,
It’s time for a Fiesta Make Checks/Money Orders
Payable to NWRR and Mail to:
NWRR 2012
% Joe Hesketh
2503 158th Ave SE
Bellevue, WA 98008-
Questions: Email NWRRtreasurer@aol.com Office Use Only
Or call Joe 425-