2019 Spring Rally - Fortuna de Oro RV Resort FCOC/FMCA Membership Number*Pilot Name* First Last Nickname for BadgeCo-Pilot Name First Last Nickname for BadgeWill you have any guests attending the rally?*YesNoIf so, please give name(s) and age(s)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Primary Phone #*Cell Phone #Email Address* Ok to share your email with other attendees?*Yes, Share my emailNo. Don't share my emailPlease indicate if you are ok having your email address shared with others who are in attendance at this rally.Any special events during this rally, e.g. birthdays or anniversary?First time at an FCOC rally?*YesNoHow many FCOC rallies have you attended?Handicap Parking?*YesNoCrafts?*YesNoAttending Camp Freightliner?NoApril 2 & 3April 4 & 5CAMP FREIGHTLINER Classes are available to rally attendees for an additional cost. Two classes are being offered the first on April 2 & 3 and another Class on 4 - 5, 2018. 2 people attending class $285.00, 1 person attending class $235.00 includes - 2 lunches, 1 dinner. You must register directly with Camp Freightliner www.fcccrv.com/owners/camp-freightliner after receiving your rally registration confirmation as it will include the confirmation number necessary to register for the class. Spots not filled by rally attendees will be opened to the public. You must ALSO book your campsite for the extra nights separately!!Coach Manufacturer*Coach Model*Coach Length*Would you like to volunteer to help with the rally?*YesNoThis is great fun and you meet great people!Make check payable to: FCOC Mail check to: Steve Batorson c/o FCOC Yuma Rally PO Box 1527 Cortaro, AZ 85652 Cut off date for rally registration is 3/15/2019 ($25 cancellation fee). No refunds after April 1st. . You must contact the campground directly for additional nights pre/post rally. Rally Fee includes the following: 4 Nights Full 50 AMP Hook-Up Camping, 2 Dinners, 3 Full Breakfasts, Fiesta Luncheon with Complimentary Cocktail, 1 Continental Breakfast, Resort Sponsored Cocktail Party, RV World of Yuma Coach Displays and Sponsored Lunch, Coach & Car Wash, Vendors, Educational Seminars, including New Member Seminar, Knowing Your Chassis, Ice Cream Social, Crafts, Entertainment, Card Games, OnSite Freightliner Trailer with Technical Support with parts and some service. Coach Type*Coach 2 people MembersCoach single MemberCoach 2 people non-membersCoach 1 person non-memberAdditional People in Coach over age 14Number of Additional People in Coach over age 14 (+$99 per person)If paying by check or money order, please mail payment made out to FCOC to: Steve Batorson c/o FCOC Yuma Rally PO Box 1527 Cortaro, AZ 85652 If paying via PayPal, a $11 fee will be added for PayPal processing.Pay ViaPayPal $300 + $11 Handling chargeCheck or money order.Total $0.00 RALLY MASTER: Mary Costigan Mary.firstname.lastname@example.org This iframe contains the logic required to handle Ajax powered Gravity Forms.