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 ____________________________