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    Delaware Good Sam   

Celebrating 40 years

The Delaware State Samboree

September 9, 10, & 11, 2011

Delaware State Fairgrounds Harrington Delaware, 19952

This years activities will include :

Celebrating 40 Years Theme Of Activities, Includes Theme Costume Contest, Games Including Bean Bag Baseball, Tour of Dogfish Head Brewery, (First 48 People) Friday 9 AM , Ice Cream and Cake, with Social Hour and Games Friday Night, Children’s Activities, Craft & Flea Market, Chinese Auction Saturday, Ladies Social, Seminars, Big night Samgo (Bingo) and Pizza Thursday night, Optional Catered Dinner Saturday Evening 2 Meats (Barbecue Chicken & Pulled Pork) , Live Entertainment Saturday Night, Hospitality Each Morning, Vendors, Sunday Morning Christian Music, Harrington Midway Slots and Casino and Much More.

Facilities: 20/30 Amp Electric, Limited Water, Dump Station, Bath House, Heated A/C Activities Building. Bring Ext. Cords, Water Hoses, & Wye. Full Water Tanks (Water Available Upon Arrival If Needed), Empty Holding Tanks. Parking 10:00 AM to 8:00 PM. To park together you must arrive together, or Register by Chapter to park together. Please indicate your anticipated arrival time on form below.

Registrations Must Be Received By September 2, 2011 Late Registrations $5.00 More.

Registration Fees for September 9, 10, & 11, 2011 As Follows:

Rig With ( 2 Adults And Up To 2 Children under 18)-------$90.00 ($95.00 at Gate)

Rig With (1 Adult, up to 2 Children under 18)----------------$80.00 ($85.00 at Gate)

Each Additional Person (18 and over) -------------------------$15.00

Each Additional Teen (13 - 17) -------------------------------- $13.00

Early Arrival On Sept. 8, 2010 ----------------------------------$30.00

Day Visitors (Each) From 8:00 AM Until 5:00 PM---------- $ 7.50

Adult Catered Meal (Sat. Night) Each--------------------------$14.00

Friday Tour Costs Each ( Dogfish Head Brewery) -----------$ 3.00 (21 or older, Limited Space) (SOLD OUT)

Craft Tables, Flea Market Tables Each-------------------------$5.00

Make Checks Payable To “Delaware Good Sam”

Detach Below And Mail Form And Payment To : Barry Larkin

2472 Chance RD. Clayton, DE. 19938

PH 302-653-0110 Email degoodsam@aol.com

------------------------------DETATCH HERE AND MAIL FORM BELOW----------------------------------------

Delaware Samboree 2011

Make Checks Payable To Delaware Good Sam

Name: __________________________________ Good Sam #_______________________ Exp. Date___________

Address:____________________________________ City_____________________ State_____ Zip:____________

# In Rig: Adults_____ Children_________ Phone No. ___________________ Email _________________________

Handicap Parking (Handicap Tag or Mirror Tag Required) Yes _____ 1st Time Attending A Samboree Y N

Park With Chapter (Chapter ’s Name) _________________________________________ Arrival Time ________________

Children’s Names

Ages

Children’s Names

Ages

______ Early Bird Night Thursday @ $30.00 Pre-Registered / Or At Gate ------------------------------------ $ ___________

______ Samboree Fee ($90.00 Family/ $80.00 Single Pre-Registered: $95.00/$85.00 Late or At Gate-----$____________

______ Extra Adults@ $ 15.00 each ---------------------------------------------------------------------------------$ ____________

______ Each Additional Teen (13 - 17) $13.00 -------------------------------------------------------------------- $ ____________

______ Catered Dinner Saturday Night $14.00 Each -------------------------------------------------------------- $ ____________

______ Tour (Bus To & From Dogfish Head Brewery Must be 21) $3.00 Each ------------------------------- $ _(SOLD OUT)_

______ Craft Show / Flea Market Table $5.00 Each ---------------------------------------------------------------$ ____________

______ Day Visitor $ 7.50 Each per Day From 8:00 AM Until 5:00 PM--------------------------------------- $ ____________

Make Checks Payable to: Delaware Good Sam                                                             Total Enclosed $_____________

Note: We the undersigned, understand the Delaware Good Sam State Committees have taken all reasonable and necessary

precautions for our safety, therefore, we accept full responsibility for the welfare of our rigs, and all occupants while attending this Delaware State Samboree.

Signature __________________________________________________________________________

Be Returned If Not Signed

$5.00 Fee for Cancelations

  Office Use Only Show_______ Mail_______ Chapter______ Dir______ Assoc_______