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Registration Form
for National RVW Rallies, Maintenance and Driving Classes

Fill in the information and submit with credit card information on this secure form.
Please print a copy for your files.

Submitter's Email:

Event Name

Registrant #1 Name

Registrant #1 Member Number

Registrant #2 Name

Registrant #2 Member Number

RV Type:

MH TRL 5W VAN CMPR TNT

Length of rig

Number of Slides

Bringing a tow car

Can it be used to carpool?

ADA accommodations required

Check here if you do not need a campsite

Comments?

Emergency Contact

Name

Phone number(s)

Confirmation

(Communications are emailed unless you specify otherwise)

Email address

Phone number(s)

Address

City, State/Prov, Zip

Waiver and Release:
In consideration of the acceptance of my registration request and/or participation in the event noted here (including optional side trips) operated by or under the control of RVing Women, and knowing that there are risks in any form of travel, I assume all risks attendant thereto and hereby waive, release, and forever discharge RVing Women, and any of its officers, employees, agents, successors and assigns, from any and all claims or actions of any kind for personal injuries and/or property damage which I may cause or sustain during the event or during travel to and from the event. I agree to pay any and all costs, including reasonable attorney's fees, that may be incurred by the above entities as a result of any such claim by me or my agents. I hereby acknowledge that I have sole responsibility for my personal safety, possessions, equipment and vehicles during this event and its related activities. This waiver and release is to be controlled by Arizona law. In addition, by attending this event, I irrevocably and unconditionally consent to being photographed and recorded, including videotape, and to having my voice, likeness, identification and actions used in any and all media without restriction. Recording and use will be made in reliance on the consent evidenced by my attendance at this event. If for any reason I do not consent as herein provided, I am responsible for notifying the photographers and/or audio/video recorders.

Signature registrant #1

Signature registrant #2

TERMS AND CANCELLATIONS: RVW has a very reasonable cancellation policy, but there are some rules to follow. If you have signed up for an activity and must cancel, please call the rally leader as soon as possible so the appropriate parties can be notified, then follow up with a letter or email to the RVW office to confirm your cancellation (Note: tour provider, campground, instructor and caterer/restaurant refund policies vary. We may not be able to refund these fees. Often, because of minimum guarantees, these providers must be paid regardless of your participation.) You must notify the RVW office and request a refund prior to the event. No shows are non-refundable.

All fees are payable in U.S. funds. Unless otherwise stated, registration fees are fully refundable (minus a $5 fee) when cancellation is received by the RVW office 14 days or more before the event start date. Cancellations received between 9 and 13 days prior to the event wil be charged a 25% cancellation fee. Sorry, there is no refund if you cancel 8 days or less before the event. Please remember, RVW activities are for women only.

Check the event description to verify amount due for registration fees.

Registration fee person #1

Registration fee person #2

Non member fee person #1

Non-member fee person #2

Campground fee (if applicable)

Total Fees

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Charge to my credit card

Card number

Expiration date

V Code - 3-digit number on the back of the card

Signature (type your name)