SITE # _____________________

MOUNTAIN MADNESS

August 2-3, 2008

CAMPER PRE-REGISTRATION

NAME________________________________________________________________

ADDRESS_____________________________________________________________

CITY_______________________________ STATE_______________ ZIP_________

PHONE_____________________________ DATE_______________________

SIGNATURE___________________________________________________________

            (YOU MUST BE 18 YEARS OR OLDER TO REGISTER A CAMPSITE)

EMAIL________________________________________________ (For confirmation)

Please bring confirmation form with you to ticket gate when you arrive.

DEADLINE FOR PRE-REGISTRATION IS JULY 25, 2008 – NO EXCEPTIONS!

ABSOLUTELY NO REFUNDS!!

APPLICANT CAMPSITE & SPECTATOR FEE                             $ 30.00                               

PLEASE LIST ALL GUEST OVER 12 YEARS OLD

            (Anyone under 18 must be camping with parent/guardian)

1. __________________________________________________                $ 30.00

2. __________________________________________________                $ 30.00

3. __________________________________________________                $ 30.00

4. __________________________________________________                $ 30.00

5. __________________________________________________                $ 30.00

                                                            Total Due with registration              $__________

Mail Forms with payment to:  TUCKER CO. 4-WHEELERS

                                                     PO BOX 116

                                                 PARSONS, WV  26287

NO FIREARMS PERMITTED

NOT RESPONSIBLE FOR ACCIDENTS

**************************OFFICE USE ONLY*********************************

PRE-REG INFOR

CHECK $________________________________

MONEY ORDER $________________________

Processed by _____________________________

Confirmation ____________________________