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Newmar Kountry Klub
355 N. Delaware Street
PO Box 30
Nappanee, IN 46550

Toll Free: 877-639-5582
Phone: 574-773-7791
Fax: 574-773-5130

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Klub Office Hours:
8:30am to 4:00pm

 
2010 Registration Form

Please fill out this form completely


 
Klub No
His Name  [ first & last ]
Her Name  [ first & last ]
Address
City
State / Province Zip Code
Phone No.
Emergency Phone No.
Email Address

(List individual Names)
Adults (18 & over)  [ list all names, separate by comma ]
Teenager 1 (12-17) Age
T-Shirt
Teenager 2 (12-17) Age
T-Shirt
Teenager 3 (12-17) Age
T-Shirt
Teenager 4 (12-17) Age
T-Shirt
Child 1 (5-11) Age
T-Shirt
Child 2 (5-11) Age
T-Shirt
Child 3 (5-11) Age
T-Shirt
Child 4 (5-11) Age
T-Shirt
Children (under 4) [ list all names, seaparate by comma ]

All Member and Guest attendees must have Official Klub Name Badges.
If you do not have a Klub badge, you must order one. Please list name, as you want it on your badge. Cost: $5.50 per badge. MUST BE ORDERED BY July 16.  If registering after July 16 you are responsible to order badge directly from Mr. Ken Badges "N Signs" at his booth in the Vendor Building Monday morning.

Badge Names:

Klub requires Doctor’s certificate or Mirror Hang Tag with your reservation form for Handicap Parking.
Please mail or fax copy of your certificate or Mirror Hang Tag to Klub office.

 
 
 RV Length :  
 

Dates for Vendor Show are Monday, thru Friday noon, August 16-20.
Cost for first booth: For the week $140.00, includes 10’ X 10’space, pipe and draping, 8’ table and two chairs. Additional booth space is $95.00 per booth. You must complete the online Member Vendor Registration Form immediately following this Rally Application to be registered as a Member Vendor.

 

Craft Sale is on Wednesday Afternoon, August 18th, Time: 1:00 to 4:00 pm. Cost for booth: $15.00 ea, includes 10’ X 10’ booth space, 8’ table and 2 chairs.


Please enter the names of golfers who plan to participate in the golf tournament
Golfer Names  [ list all names, separate by comma ]
   
 
   
   
 
 

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For Customer Service Call 1-877-639-5582 or CustomerService@newmarkountryklub.com

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