2012 Great Lakes Area Spring Spree (G.L.A.S.S.) Rally
 May 24-28, 2012
Registration Form

Additional $20.00 per night camping fee for early arrival May 24, 2012, payable upon arrival.
Gates open 8:00 a.m. until 5:00 p.m. ONLY.   Pre-registration deadline 5/9/2012.

 

 

 

FMCA #:_________________  Last Name:__________________  Pilot:_______________

Co-Pilot:________________ Your Phone Number _________________  Cell Number ______________

Address:___________________________________  City:___________________ State:___________  Zip:__________

E-Mail Address ___________________________________________________

[__]Handicapped Parking (w/Copy of State Handicap Authorization)       [__]Tow Vehicle      [__]1st GLASS Rally      [__]Hold at gate

 Registration          Pre-Registration       Postmarked
                                                              After 5/9/2012

Coach w/2 adults         $150.00                 $170.00            $________

Coach w/1 adult           $140.00                 $160.00            $________

Adults (13 yrs & older)    $50.00 Each & No.___                 $________
                                                             (Quantity)
Children (5-12 yrs.)         $25.00 Each & No.___                 $________        Sub-Total $__________

Optional Golf Outing 

Name(s) of golfer(s):_____________________________________

Fee includes 18 holes & cart: & lunch _____ x $45.00    Amount included ................ Sub-Total $__________
Tee-off at the Pebblewood Country Club Saturday morning May 28, 2011.
If you have questions, contact Fred Hamlin phone (269) 543-4790.  Must
pre-register on this form before the rally.

Optional Meals At The G.L.A.S.S. Diner

(2) Opt. Meals: Adults (13 yrs & older)  $26.00  x ______ =  $ ___________
                                                                       (Quantity)
                 Children (5-12 yrs.)       $13.00 each x ______ =  $ ___________                Sub-Total $__________

Your Telephone ________________     Total Amount Enclosed (USA Funds only) $__________
                                                                       No credit cards accepted.

Fees (above) cover Thursday - Monday Noon.  $20 to stay Monday night 5/28/2012 collected Monday at your coach.

Make check or money order (USA funds only) payable to:  “Michigan Knights of the Highway” 

Mail to:  Mike & Joni Baker, 11603 Brookland Drive, Allendale MI 49401-9480

Hosted By: Michigan Knights of the Highway                                         Sponsored by: Great Lakes Area Chapters

[__] Check if you plan to attend the Thursday evening Greater Berrien Springs Recreation Department Fund Raiser Spaghetti Dinner. 

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