CMA South Carolina-2014 STATE RALLY SEPTEMBER 5

CMA South Carolina-2014 STATE RALLY
SEPTEMBER 5-7, 2014
PRE-REGISTRATION FORM
1. Fill out sections that apply to you.
2. Make check or money order to CMA Treasurer of SC. No Credit cards
3. Mail completed form and payment to:
Val Lindeman 941 2nd Bend Rd. Harleyville, SC 29448
4. Completed form and payment by August 31, 2014.
On-site registration will be $ 15.00 for adults, $ 7.50 for children, Family rate $ 35.
Some meals will be available with on-site registration.
Section 1. Personal information (please print)
Name
Name
Child/Youth name
Child/Youth name
Child/Youth name
Address
City
Email
CMA Chapter name
CMA #
CMA #
Age
Age
Age
State
CMA #
CMA #
CMA #
Zip
Phone
Chapter #
Section 2. Rally Pre-registration fee - $ 10 per adult $ 5.00 per child/youth ages 4-17 Family rate $ 30
Number of adults
X $10=
Number of children/youth, ages 4-17
X $ 5=
Section 2 Subtotal
$
Section 3. Lodging Tabor Building/Family housing double bed mattress cover/linens provided
$ 58.00 per night for 1-10 adults/children
# nights
X $ 58= $
Section 3 Subtotal
$
Section 4. Lodging Mini retreat center 1-4 adults/children
$ 63.00 per night for 1-4 adults/children
# nights
X $ 63 $
Section 4 Subtotal
$
Section 5. Meals Adult Meals 12-up
Friday lunch
# of meals
______ X $ 7.00= $
Saturday breakfast
# of meals _____ X $ 7.00=
$
# of meals _____ X $ 7.00=
Saturday Lunch
$
# of meals _____ X $ 8.00=
Saturday supper
$
#
of
meals
_____
X
$
7.00=
Sunday breakfast
$
Section 5 Subtotal
$
SECTION 6. MEALS CHILDREN 6-11
Friday lunch
# of meals
X $ 3.50= $
Saturday breakfast
# of meals
X $ 3.50= $
Saturday Lunch
# of meals
X $ 3.50= $
Saturday supper
# of meals
X $ 4.00= $
Sunday breakfast
# of meals
X $ 3.50= $
Section 6 Subtotal
$
SECTION 7. CAMPING
# of nights
X $ 22.00= $
RV
# of nights
X $ 17.00= $
TENT
Section 7 Subtotal
$
SECTION 8. RALLY T-SHIRT $ 15.00 S-XL $ 16.00 2x and up
Sizes#
S
M
L
XL
2X
3X
$
TOTAL SECTIONS 1-8
$

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