Mount Washington Rally

August 9-12, 2001

In the heart of the White Mountains

Registration information

Name: _______________________________________________

Spouse/Partner:________________________________________

Additional Adult:______________________________________

Child # 1_____________________________________________

Child # 2_____________________________________________

Child # 3_____________________________________________

Child # 4_____________________________________________

Address:______________________________________________

City:_________________________________________________

WBCCI #:_____________________________________________

Unit #:_______Unit Name:_______________________________

Email:________________________________________________

Phone #:______________________________________________

Trailer yr/model/length:__________________________________

Indicate day of arrival:___________________________________

Registration Fee is $75.00 down with balance due by June 1, 2001.

Price
1 Adult $115.00
2 Adults 125.00
3 Adults 135.00
4 Adults 145.00

You may register and pay in one of two ways:

Print this page and Mail it with a check made out to Linda Moore to:

Pay by credit card (Visa or Mastercard) using PayPal. If you do not have a PayPal account, you will have to sign up for one at the PayPal registration site.

Paste the registration form portion of this page (the section between the dashed lines above) into an email addressed to Linda Moore (MooreLinda@airstream.net) with a copy to The WDCU treasurer (baldwin@airstream.net), fill in the relevant information, mail it to Linda, and only then, click on the appropriate PayPal icon to pay via credit card. As noted above, you will have to sign up for a PayPal account (free) to do this.

The credit card amounts are increased by $3.00 to cover the costs of using this service.

Email MooreLinda@airstream.net or call 603-881-5299 if you have any questions.