RV Safety, Merritt Island, Florida

LIFESTYLE, EDUCATION & SAFETY CONFERENCE REGISTRATION FORM
(Enrollment is limited to 200)

Quantity
	Registrants ($225 per person conference fee)
	Will you be dry camping (no power, no water) at Conference . (Limited to first 100 units)

Total

For Fax or mail reservation:
Print form and:
Fax: 321-453-3853
Mail: RV Safety 4575 Annette Ct. Merritt Island FL 32953

First Name

Last Name

Guest First Name

Guest Last Name

Steet Address

Apt., P.O. Box, Suite

City

State

Zip Code

Telephone

Email Address

Name on Credit Card

Credit Card Number

Credit Card Type

Card Expiration Month

Card Expiration Year

Cancellation Policy
There is a $25 per person cancellation fee.
No refunds after 60 days prior to the Conference start date.

Do you own an RV?

What Type?

How long have you been RVing?

Age Range

NOTE: We only accept Mastercard and Visa credit cards.

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RV Safety & Education Foundation
4575 Annette Ct.
Merritt Island, FL 32953

Phone: 321-453-7673
Fax: 321-453-3853