Tom

Arkansas 2010 Fall Samboree


October 7, 8, 9, 10, 2010
AR/OK State Fairgrounds -Kay Rodgers Park
4400 Midland Blvd
Fort Smith, AR. 72914

Shirley

You may fill out this form online, print and mail in your pre-registration fees.
You are invited to Participate in Our Spring/Fall Samboree with a Commercial Exhibit Space.
Cost per space (10' X 10') is $120.00, Which includes registeration fee.
Additional spaces are $65.00 per space. You may come as early as October 4, 2010.
Note: Early Parking will be $12.00 per night thru Wednesday Night, payable when you arrive.

Number of Spaces Needed: Total Cost: Enclosed

Good Sam Number: Expiration date:

Firm Name:

Street Address:

City State Zip

Phone

E-mail
We will be Selling:.
Would You give a Seminar? YES NO 
To Increase additional Interest, We will be furnishing a DOOR Prize YES NO 
If Yes, please reply by 30 Days Prior to the Samboree, so it can be put on the schedule.

Firm's Representative:

Electronic Signature: Date:

 
The Arkansas Good Sams reserves the right to refuse registration and/or admittance to anyone.
Copyright © 2008 Arkansas Good Sams. All rights reserved. Revised: 12/12/2010

Make check payable to: Arkansas Samboree

Mail form to:
Melinda Wiggs, Registrar
2501 Skyline Point
Jonesboro, AR 72404
870-972-0951
Your confirmation information will be sent via mail.