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KANSAS STATE RALLY August 18-21,2011 Deer Creek Valley RV Park 3140 SE 21st Street, Topeka, Kansas 66053 785-357-8555 Your are to make your own site reservations with them, and tell them you will be with the KansasState Newmar Rally for the discounted price.
RallyFee INCLUDES: Two Full Breakfasts One Continental Breakfast Two Buffet Dinners Ice Cream Social Entertainment
RALLYFEES: 2 People $ 140.00 1 Person $ 70.00
This does NOT include your campgroundreservations Camping will be $26 a night. Please specify which nights when you make your reservations with the campground. Then please send us your information and your rallyfees.
* RESERVATIONDEADLINE * July 22, 2011
Mail signed disclaimer & fees to: Larry DeWitt (11440L) P.O. Box 337 Madison, Kansas 66860-0337 620-437-6325
NewmarKountry Klub Rally Registration & Disclaimer Form
Type of Rally: ___KANSAS STATE RALLY_____ AmountEnclosed: ___________
Name(s):_______________________________________ Klub #: _____________
Address:___________________________ City:________________State: __________ Zip:_________
Phone: ___________________________ E-mail: _____________________________
Dates & Location of Rally: August 18 – 21, 2011 Deer Creek Valley RV Park, Topeka, Kansas DISCLAIMER: All persons attending a Klub rally must sign thisdisclaimer in order to participate.
I agree, in consideration for being able to participate inthis Newmar Kountry Klub activity, to release and to indemnify and hold harmless Newmar Kountry Klub and Newmar Corporation, its directors,officers and employees, from all liability for injury or damages to my personor property, or the property of persons who accompany me to this activity. With knowledge of the type of risk or harm,which might occur at such activity, I sign and release and indemnify as part ofmy application and participation.
All adult members and their guests must signand in so doing, assume responsibility for minors in their care.
Signature(s): _____________________________________________________________________
Signature(s): ____________________________________________________________________
Signature(s): _____________________________________________________________________
Signature(s): _____________________________________________________________________
Return this signed form with your payment to: Larry & Sherry DeWitt P.O. Box 337 Madison, Kansas 66860 Questions: 620-437-6325
PLEASEREMEMBER TO CALL THE CAMPGROUND TO MAKEYOUR SITE RESERVATIONS!
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