Tom

Arkansas State Good Sams
2012 Spring Samboree

April 19, 20, 21, 22, 2012
Four States Fairgrounds
3700 E. 50th Street
Texarkana, AR. 71854

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 $125.00, Which includes registeration fee.
Additional spaces are $65.00 per space. You may come as early as April 16, 2012.
Note: Early Parking will be $17.00 per night thru Wednesday Night, payable when you arrive.

REFUNDS: Refunds will be made (less $10.00) or full transfer to next Samboree if requested 30 days in advance of Samboree.

Number of Spaces Needed: Total Cost: Enclosed

Good Sam Number: Expiration date: If You are a Good Sams Member

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:

Linda Webb, Registrar
P.O. Box 1115
Paragould, AR 72451-1115
Phone# 870-335-6220
Email: Lg9322@aol.com

Your confirmation information will be sent via mail.