SOUTHEAST AREA FMCA PRESENTS GO WESTERN AT SEA
FEBRUARY 2-6, 2011
FMCA Number     If you do not have an FMCA number you can go to www.fmca.com to apply for one
You do not have to be a member of FMCA to attend this rally.
Primary Badge Name:     Type your name as you want it to appear on your Badge
First:       This is Required
Last:       This is Required
Secondary Badge Name:      Type your name as you want it to appear on your Badge
First: :
Last :
Address where confirmation will be sent
Address1
Address2
City, State Zip      
Phone Number
Email Address
Please enter a correct email address to receive your confirmation packet
Is this your first Southeast Area Rally? 
COACH INFORMATION
Coach Make
CHAPTER INFORMATION
Primary FMCA Chapter
Chapter Name:   Chapter you will be caravan with.
 If large group, please call the office to schedule an arrival time at 352-796-0154
CONFIRMATION PACKET
Do you wish your confirmation materials to be held at Will Call?  PLEASE NOTE THAT ALL REGISTRATIONS RECEIVED AFTER 1/15/11 WILL BE HELD AT WILL CALL 
GUEST INFORMATION: This space is for additional guest in your coach Please include the name(s) and age(s) of the guest who will be joining you for this event.
Do Not include yourself or co-pilot.
Guest 1
First Name
Last Name
  Age 
Guest 2
First Name
Last Name
  Age 
EVENT:
Tarpon Springs Excursion - If interesterd select amount from drop down below.  Limited to the first 150 People Tuesday February 1st
Qty
Note:
PARKING TYPE:
General Parking - Generator 7AM - 11PM Only
Handicap Parking - Reserved for those with qualifying medical needs - Limited space First Come-First Serve
No Generator Area -  No Generators allowed
Full Generator Area - Can Run generators 24 Hours a day if needed
General Parking with Electric - Please note there is an additional $165.00 fee applied and you need to bring an extention cord in case it is needed
Handicap Parking with Electric - Please note there is an additional $165.00 fee applied and you need to bring an extention cord in case it is needed
Passport Parking - Off Grounds Motorhome Parking - Can Attend Exhibits, seminars and entertainment only
REGISTRATION TYPE -  PRICE IN U.S. FUNDS    Please select correct type from 2 Person, 1 Person and if you have any guest
   Pre Register After 1/10/11
Guest's over 11 years old
Tarpon Springs
                                                  Date   9/4/2010
Total Due $
Send written refund request with Rally Credentials to
SEA FMCA - PO Box 15304 - Brooksville, Fl 34604
A $15.00 Processing fee is charged.  There are no refunds after 1/20/11 and your credentials must be postmarked no latter then 1/30/11.
There will be absolutely no refunds after the rally begins.

Rally Credentials are Non Transferable.  Confirmation Credentials Must be displayed on your motorhome to facilitate your entry into Rally Grounds.