POG XII

Nashville , Tennessee

September 30 - October 4 , 2013

Tennessee State Fairgrounds

Date:____________________

Last Name :_______________________________________

His First Name :____________________________________

Her First Name :____________________________________

Mailing Address:____________________________________

City :______________________________________________

State:_____________________Zip: _____________________

Cell Phone:__________________________________________

Email:______________________________________________

Coach Info:__________________________________________

Do you Have Any Special Diet Requirements?______________

____________________________________________________

You Will Not Be Billed Until July - At That Time You Can Decide On Payment Method

Rally Pricing :

Coach with 2 People $ 699

Coach with 1 Person $ 499

Extra People in Coach $ 299

People Staying Off-Site $ 299 per person

All Events Will Be Included In The Rally Price

We Have 45 Full Hook-Up Sites With 50 AMP Power

Those Will Be On A First Come Basis

We Will Have Additional 30 Amp Full Hook-Up Sites If Needed

Sign-Up Sheet Can Be Sent Via:

Email : Prevostlife@gmail.com

Fax: 888-651-5307

Or Sign-Up Online

If You Have Any Questions

Please Contact Jamie At 352-552-4812 or Prevostlife@gmail.com

Cancellation Policy: 100 % Refund if Cancellation Received Before 8/1/2013

50 % Refund if Cancellation Received 8/1/2013 - 8/31/2013

No Refunds After 9/1/2013