ATC Event Deposit Form -- 2008 Balloon Fiesta
October 2-12, 2008 -- Albuquerque, New Mexico

Click Here For Help On How To Fill Out The Member Information

Names: ATC #:
1st Line of Address:
2nd Line of Address:
City: State:   Zip Code:
Phone: Cell Phone:
E-Mail Address:
 
Click Here For Help On How To Fill Out The Unit Information
 
I/We own the following recreational vehicle manufactured by Western RV, Inc.
Type Of Unit:
Year: Model:
Length: # of Slides:

If this RV is an Alpine Coach, are you towing an auto? Yes: No:


Enclosed Deposit: $250 Minimum


Special Needs? List type and needs including any handicap or diet requirements:

ATC Event Deposit Form -- 2008 Balloon Fiesta
October 2-12, 2008 -- Albuquerque, New Mexico

Member Number:  
Member's Name:  
Address Line 1:  
Address Line 2:  
City, State and Zip/Postal Code:  
Home Phone:  
Cell Phone:  
First E-Mail Address:  
Rig Type:  
Model Year:  
Model Name:  
Length:  
No. of Slides:  
Towing A Vehicle:  
Deposit Amount:  
Special Needs:  
Submittal Date:  
  1. Select the Check Data button below to verify the information entered on the form.
    If all necessary information is entered and correct,
  2. Select the Print Form button to print one copy for yourself.
  3. Select the Print Form button again to print one copy of this form to send with your check.
    Make a SEPARATE check out for this request.
  4. Select the SUBMIT button to e-mail the information to the ATC Registration Committee.

I, and those attending with me, understand that no direct or indirect responsibility is assumed by Western Recreational Vehicles, Inc., Alpenlite Travel Club (ATC) or its staff, and/or the RV park/parking area owner for or related to the use or operation of any vehicle going to or from any activity sponsored, in whole or in part, by the ATC.   This exclusion of responsibility applies to any losses due to any cause(s) whatsoever, including, but not limited to, injuries and property damage in any way related to such activity.   I also understand that I am not eligible to attend or participate in, nor will I attend or participate in, this or any ATC-sponsored function or activity unless I reside in a Western Recreational Vehicles, Inc. manufactured product during the duration of the function or activity.

Signature _______________________________________________________

Date _________________

Full payment must be made and registration form completed and postmarked prior to event deadline to avoid late charges and guarantee your reservation.

Please make check payable to Alpenlite Travel Club and mail along with this signed form
to the Alpenlite Travel Club - Event Registration, PO Box 151, Lakewood, NM 88254