GOOD SAMS OF FLORIDA, INC. 2010 FALL SAMBOREE
                           HISTORY IS THE THEME FOR FALL SAMBOREE
                                                 WEKIVA FALLS RESORT
30700 Wekiva River Rd, Sorrento Fl 32776 (Take 101C on I4, then drive west 5.5 miles on SR 46, go left
                                                      on  Wekiva River Rd. Entrance 1.4 mi on left)
                    NOVEMBER 17-21 (Wed-Sun) EARLY BIRD-Tues. November 16, 2010
                                            State Committee Meeting on Thursday November 18, 2010
REGISTRATION FEE INCLUDES: 4 nights camping with water, electric and sewer.  Daily hospitality,
            Samgo, Door prizes, crafts and flea market, seminars, Samboree Bars, RV Dealers, vendors,
                                                         entertainment, FREE CABLE and MUCH MORE.
  CANCELLATIONS There will be a processing fee for all cancellations based on cancellation date:
                                                    Prior to September 15th                                   $10.00
                                                    September 15th thru October 14th                $15.00
                                                    October 15th and forward                                $25.00
    THERE WILL BE NO REFUNDS FOR “NO SHOWS” OR CATERED MEALS
   *All cancellations and refund requests must be in writing and mailed to Bob Ward,
                                                                State Director.
      Note:  Please deduct $10.00 per night for Wed. and Thurs. IF unable to arrive
                                                                 before Friday.
                                NO DEDUCTIONS FOR EARLY DEPARTURE.
                                       WE WILL HAVE CHAPTER PARKING
Be sure to bring extra electric cords and water hoses.  Handicapped spaces will only be provided for our
                                                         Handicapped members with proper credentials.
         PLEASE INDICATE WHETHER YOU WANT TO PARK WITH YOUR CHAPTER OR IN HANDICAPPED
                                                                                 SPACES.     (NOT BOTH)
 Unregistered late arrivals may not be parked with their chapter.**Registration 9-5 NO LATE ARRIVALS**
           ****IMPORTANT!!  ARRIVE WITH TOWED VEHICLE UNHOOKED***
                  MAKE ALL CHECKS PAYABLE TO:  GOOD SAMS OF FLORIDA, INC.
                         RETURN LOWER PORTION OF THIS FORM WITH FEES TO:
                               Bob Ward, P. O. Box 348, Nobleton, FL  34661-0348
                             Email:  bward5@bellsouth.net  Phone# (352) 585-3677
.......................................................................................................................................................
NAME________________________________  _______________  ___________________________
Last                          First                                               Good Sam #           Chapter Name or Handicapped
ADDRESS ___________________________________    __________________________    ____________
                   Street                                                                            City and State                                                   Zip
Handicapped#________________________________    Rig Length _____ Rig Type ___________________
# of Adults  _____    # of Children_____                                                                         (A, B, C, trailer, 5th wheel)
                                                                                       SAMBOREE FEE
PREPAID REGISTRATION ($110.00)  $_________                           Phone # ____________________________
EARLY BIRD                          ($20.00)   $__________   
SINGLE PERSON RIG        ($100.00)   $_________           E-Mail address _____________________________
EXTRA ADULT ____             ($17.00)    $_________            PRINT CLEARLY - (used for confirmation only)
CATERED DINNER   __ @   ($12.00)   $ _________         REGISTRATION AT GATE ($115.00) $_________
(children under 12 are free)
TOTAL FEES FOR WEKIVA        $_________    
                             IS THIS YOUR FIRST FLORIDA SAMBOREE?  YES __  NO __
NOTE: We the undersigned understand the Florida Good Sam State Staff has taken reasonable and necessary
safety precautions.  Therefore, we accept full responsibility for the welfare of our unit and all persons in our unit
while attending the Florida Samboree.
DATE: _________________                                SIGNATURE: _____________________________________
                                  We, Florida Good Sams Inc.,  reserve the right to refuse any application.
                                                                           www.goodsams-florida.org