Page 9 - Fall 2019 Travelore
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             DRVC Travelore - Page 9
        Vally Rally Registration
Valley Rally Diesel RV Club Rally
Distant Drums RV Resort - CampVerde,Arizona March 15 through 20, 2020
Please print or type the appropriate information in the spaces below.
Determine your rally fee, complete the form, then send it with the correct payment due prior to March 2, 2020.
     Pilot:
Co-pilot:
Last Name ___________________________ First Name ____________________________ Last Name ___________________________ First Name ____________________________
FMCA #: __________________ Email: ________________________________________________________
Address: _____________________________________________________________________________________
_____________________________________________________________________________________________
City: _____________________________ State/Prov:________________ Postal Code: ____________________________
Primary Phone: ____________________ Mobile Phone: ____________________
Emergency Contact: ___________________________________ Phone: ______________________
Coach Make: ________________________ Handicap Considerations: Currently DRVC Member:
First Timer:
Dietary Issues/Sensitivities:
Will you have a guest(s) attending and staying in your coach? If so, please provide their name(s) and ages.
Guest of Member Information: ___________________________________________________________________
RALLY FEES FOR MEMBERS:
Registration Type
Full Rally (Two in coach) . . . . . . . . . . . . . . . . . . . . . Full Rally (One person) . . . . . . . . . . . . . . . . . . . . . . Each Additional Guest . . . . . . . . . . . . . . . . . . . . . . .
• Rally Fee • $ 375.00 $ 275.00 $ 100.00
Questions or clarifications? Send an email to: treasurer@dieselrvclub.org
Arriving early or staying late? Please contact:
Distant Drums RV Resort 583 West Middle Verde Road Camp Verde, AZ 86322
(877) 577-5507 or (928) 554-
8000 www.ddrvresort.com For the latest information, please visit www.dieselrvclub.org
Model: ___________________ Length: ________________
Yes _________ Yes _________ Yes _________ Yes _________
No _________ No _________ No _________ No _________
 RALLY FEES FOR NON-MEMBERS:*
* Please add $25 to above prices. Visitors attending in own motorhome
are welcome to participate but subject to a $25 surcharge; limited to one rally. Charge applied to membership fee upon joining.
TOTAL RALLY FEES
Total Fee Paid $ _________ . ___
Make checks payable and mail form to: FMCA Diesel RV Club
3916 N Potsdam Ave, PMB#1107
Sioux Falls, SD 57104-7048
REFUND POLICY:
Registrant must notify Treasurer at least 14 days prior to start of rally to receive full refund. Notice provided later will be dependent on advance fees paid to vendors.
                   
























































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