2015 HDT Rally Registration Form

2015 National HDT Rally
October 11 – 17, 2015
Kansas State Fairgrounds RV Park
2000 N. Poplar Street
Hutchinson, Kansas 67502
Steve & Gail Dixon
101 Dixon View Lane
Unicoi, TN 37692
Phone: 800-362-3247 or 620-669-3608
e-mail [email protected]
423-743-0062
The National HDT Rally is a Social and Training Event for HDT Owners
and Prospective HDT Owners. There will be Fun and Educational Seminars to better
Familiarize an Owner with his or her rig.
(Please Print)Name First
Last
Spouse’s Name
Last
First
Address
City
Phone
State
Zip
E-mail Address
Forum Name(s)
Name Tag name if different from above.
Please indicate Number of Participants. Prices are per person
Registration Fee per Person over age 17 required
$92.00 x______$_______
Additional T-Shirts (One per registered person FREE)
$12.00 x______$_______
Late Fee
15.00______$_______
(For registrations received after 9/05/15)
Park Fees: $132.00 for the week of Oct. 11 - 17, 2015
This includes full hookups/ 50 or 30 amps for 6 nights.
(__) Check here if staying in a Hotel (No Park Fee)
(__) Check if Handicap Site needed. Must have placard.
$ 132.00
Total
$_______
You will receive one free T-shirt for each person on your registration.Please indicate number
of shirts for each size required. We need this information by September 5, 2015 to give us time
to have t-shirts made in time for the rally. IF YOU DON’T HAVE THE REGISTRATION IN BY
SEPTEMBER 5th, YOU WILL NOT RECEIVE A T-SHIRT.
We may have a few extras available, but don’t count on it.
T-Shirt Sizes
XXXL____
XXL____
XL____
L____
M____
NOTE!! All T-shirts are MENs Sizes. You may buy extra t-shirts for $12.00 ea.
Number of additional shirts
Will be arriving in...
S____
____ x $12.00 Total__________
(__)HDT
(__)MDT
How many times have you attended the National HDT Rally?
(__)First Time (__)Second Time (__)Three or more
(__)PickUp
(__)Other______________
Make checks payable to: Gail Dixon. Put HDT Rally on the memo line.
MAIL TO: Gail Dixon, 101 Dixon View Lane, Unicoi, TN 37692
Please send your check for the total due with the completed registration form.
Rally Registration Deadline:
Check and Registration forms must be received by September 5, 2015
IF YOU WISH TO ARRIVE EARLY OR DEPART LATE
All Rally fees are to be paid directly to Gail Dixon. If you wish to arrive early or depart late, please contact
Gail at [email protected] or call 423 743-0062 for additional information.
HDT Rally Refund Policy: The Rally Organizer shall upon request, refund all monies to the
individual requesting same. There will be a $30.00 cancelation fee for any cancelations
received after September 5, 2015. There will an additional fee of $15.00 for all registrations
received after September 5, 2015
Signatures are required from all persons
attending the 2015 HDT National Rally
I/We agree that we shall not hold The Kansas State Fairgrounds or any organizer of the 2015 HDT Rally
responsible for any personal injury of any kind and includes, without limiting it, whether injury is
caused by a condition of the premises, another rally attendee, or any other person. I/We recognize that in
signing this paper, we are waiving a legal right to recover damages.
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