2020 Summer Rally in Spearfish 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 DarussalamBulgariaBurkina 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.Handicap Parking?*YesNoLadies Crafts?*YesNoFirst time at an FCOC rally?*YesNoWould you like to volunteer to help with the rally?*YesNoThis is great fun and you meet great people!Any special events during this rally, e.g. birthdays or anniversary?Coach Manufacturer*Coach Model*Coach Length*Rally Registration*Coach 2 people MembersCoach single MemberCoach 2 people non-membersCoach 1 person non-memberSelect your registration fee based on the number of people in your coach and your membership status. Additional People in Coach over age 14Additional charge for extra person in coach over 14. This is a hidden field used for pricing calculations.Number of Additional People in Coach over age 14 (addl. charges apply)Will you be attending Camp Freightliner?*NoYes on Aug 21 & 22CAMP FREIGHTLINER classes are available to rally attendees for an additional cost. You must register directly with 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.Rally Policies*Please read and review our standard policies for Cancellation, Dietary Requests, and Rally Fees. Standard Policies I acknowledge that I have read and understand the standard rally policies Waiver of Liability*Please review our standard club Waiver of Liability & Indemnity Agreement here. I acknowledge that I have read and understand the Waiver of Liability and Indemnity Agreement You must contact the campground directly for additional nights pre/post rally. The special rally rate of $45/nite has been extended for 2 days before and after the rally. RallyMasters Contact Information Chris and Pattee Perez, 949-697-8893, 949-697-8892 Steve and Jan Bertling, 951-491-1297, Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name RM-Email Rallymaster Email Address (hidden field for use in registration notification emails) This iframe contains the logic required to handle Ajax powered Gravity Forms.