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Crawl Registration

PacificEd

NAXJA Member
NAXJA Member
Location
Middle Tennessee
Cherokee Crawl, 1-4 July 2011
Harlan County Campground & RV Park, Putney, KY

Registration Instructions:
1. 1 Form per Driver/Vehicle
2. Provide :NAXJA: member number, if applicable.
3. Please copy & paste the registration form in a PM to High2by (Mark Morton), or PacificEd (Ed Robbins).

Personal Information
Forum Screen Name:
Member #:
Name:
Address:
City:
State & Zip:
Phone number:
E-mail address:

Vehicle:
Trail Interest(s):
Easy ___ ;
Moderate ___;
Difficult___;


Registration Fee
A) :NAXJA: Members (Red, Green and Blue names): $25.00. Includes 1 meal ticket, 1 Crawl decal, and 2 raffle tickets.
B) All Others: $35.00. Includes 1 meal ticket, 1 Crawl decal, and 2 raffle tickets.


Miscellaneous and Swag
C) Additional meal ticket and 2 raffle tickets: $13.00 ***
D) SEC Decal: $5.00 each
E) ADULT event T-shirt (Sizes: S, M, L, XL, 2XL, 3XL): $15.00 each
F) YOUTH event T-shirt (Sizes: S, M, L): $15.00 each
G) Raffle ticket: $1 each
***Children 10 and under eat free.

Please indicate the number of each item and complete the fields below
[Example: D) SEC Decal: $5.00 x 3 = $15.00]

A) Member (red name) registration: $25.00
B) User (black name) registration: $35.00
C)Additional meal ticket and 2 raffle tickets: $13.00 x _____ = _____
D) SEC decal: $5.00 x _____ = _____
E) ADULT shirt: $15.00 x _____ = _____ Size _____
F) YOUTH shirt: $15.00 x _____ = _____ Size _____
G) Raffle tickets: $1.00 x _____ = _____
H) Number of children attending under 10 = _____

I) Total Cost =

Payment Options
For registration you may PayPal to [email protected] or mail check or money order. Payment will also be accepted at the event.
T-shirt orders must be prepaid and will be available for pick up during the event. Send payment for T-shirts electronically via PayPal to [email protected] or mail check or money order to:

Mark Morton
114 Edison Circle
Smyrna, TN 37167

Other Costs
Permits
Ride permits: $20.00 for 31 days.***
Primitive camp site: $15.00 for 2 people. $5.00 for each additional person.***
Electric camp site: $20.00 for 2 people. $5.00 for each additional person.***
*** Camping permits and ride permits are the responsibility of the participant and are NOT included in the price of the registration. These fees should be paid at the park when you arrive.
 
Please copy and paste the form to a PM to High2by.
 
Done!
 
Done
 
Come on guys I need some registrations. Shirts are gonna be ordered SOON. I've only got 8 registration forms sent in.

Get them in to either PacificEd or myself. We need them to order shirts!!
 
Registered!!

And Mark/Ed...I may just bring my T-shirt prepayment to the 4WD Parts M & G on the 18th.

26 days till I load the Jeep...27 to hit the road!
 
Ed/Mark i will send you my monies via paypal next week. The rent drained me this week! :rolleyes:
 
We are running out of time so for those of you that have not sent in your registration, please do so. It helps us plan how many shirts to order and how much food we need.
 
Sent mine in last night.

Mark says there's not many from the SEC registered yet...what's up with that!?
 
justt sent mine in. may be sending 3 more in for other jeeps.
 
According to Mark, we have 20 people registered. Keep them coming!
 
I sent you the money today Mark!
 
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