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