Prevost Prouds Prevost Prouds

Quebec City, Canada

September 14-19, 2017

Date
Last Name
His First
Her First
Mailing Address
City
State
ZIP
Home Phone
Cell Phone
Email
Do you require handicapped parking? Yes No
Towing a trailer? Yes No
Name of your coach converter
Is this your first Prevost Prouds rally? Yes No
Do you have any special diet or food requirement? Yes No
If so, please explain:
Any special parking requests?
    Before
6/30/2017
After
6/30/2017
 
Coach with two adults   $1,575 $1,675
0
Coach with one adult   $1,075 $1,175
0
Each additional family member in coach   $595 $695
0
Children under the age of 10 years old   $395 $425
0
Couple staying off-site   $1,045 $1,145
0
Individuals staying off-site   $545 $645
0
Golf Cart Rental   $300/cart
0
TOTAL AMOUNT

SEND CHECK TO: PREVOST PROUDS P.O.BOX 607, SEARCY, AR 72145
REGISTRATION WILL NOT BE COMPLETE UNTIL PAYMENT IS RECEIVED
REFUNDS: Full refunds will be given, if written notice is received before June 30, 2017. A 50% refund will be given if notice is received after June 30, 2017. -- No refunds after Aug 1, 2017

Copyright © Prevost Prouds. All rights reserved.