*Your First Name:
*Your Last Name:
Address Line 2:
<- Best place to reach you at Rally
Pop Up Camper
*RV Length (feet)
*Is this your First Kentucky Rally?
*Doing a Seminar:
No How Many?
(other than at your display area)
*Space Required (8x10)
Need to Park close to Vendor Bldg?
*Is Electricity Needed at Display Location?
(Kentucky Good Sam will provide an outlet. Vendor will provide hookups)
Liability Insurance: Commercial Dealers/Vendors/Exhibitors must provide
own insurance, and are liable for their activity.
Vendor May have to provide own or additional tables.
More Rally Info
Rally Dates Sep 27 - 30 : Arrival Date set by Early Bird Days Chosen
Anticipated Arrival Date MM/DD/YYYY:
-- FEEs --
--Regular:-- Thurs, Fri, & Sat nights.
*Includes Camping, Meals, Entertainment, Display Space*
-$95 Camping (2 Adults & children thru age 12)
-$55 Not Camping (2 Adult & kids thru age 12).
-$15 each Teen age 13-17
-$15 for each extra Adult
-$15 extra Display Space
-$20 Early Bird Fee/day
Total Cost: $
Early-Birds can arrive 09/24/2018
These extra fees are to help cover part of the cost of meals.
Prize Number Per Registration.
Treasurer contact info below for
mailing your check
to Finalize your
The undersigned accepts full responsibility for the welfare of
their units and persons with their units while attending the
KENTUCKY GOOD SAM RALLY, and hold harmless the KENTUCKY GOOD SAM ORGANIZATION
for any claims for
personal injury or damage asserted by member of their unit.
We reserve the right to expel anyone causing an undesirable
I grant permission for Kentucky Good Sam to post individual & group
pictures on Kentuckygoodsam.com website
and social media.
By checking YES you agree to these terms.
to complete Registration!
Make Check for $
Payable to: Kentucky Good Sam
Bill Mulkins, Treasurer200 Finch Ct.Vine Grove, KY 40175