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Date____________________ Name_____________________________WIT#_____________________________ Spouse/Companion Name______________________________________________________________ Address_________________________________City___________________State_______Zip_______ Chapter(s)/StateClub__________________________________________________ Phone Number(s) Home (_____)____________ Cellular (_____)________________ E-mail Address(s)___________________________________________________ Length of Coach___________ft. Slide outs___________Which side(s)____________ Please circle the answer that applies: DIABETIC (YES)/ (NO) DISABLED PARKING (YES)/ (NO First timer at State Meeting? (YES)/ (NO) Arrival Date ________________Departure Date_____________________ Extra Nights___________ REGISTRATION AND CAMPING FEES One Unit with two persons $115.00 $______________ One Unit with one person $95.00 $______________ Extra nights camping @ $15.00 per night. (1 day before and 2 days after) $______________ TOTAL FEES ENCLOSED $______________ Please make the check for the appropriate amount payable to California State Club of Wit and mail to: Your canceled check of your receipt. If you would like a receipt, please send a self-addressed stamped envelop with this form. Cancellation Policy: Cancellations prior to Feb. 24, 2008: All fees will be refunded. Cancellations after this date, to be determined by parks charges and food purchases already made on cancellation date. |