2012 HTC RALLY REGISTRATION FORM

Enclosed is a check in the amount of $35.00 made out to Ronald McClain to register for the
2012 HTC Rally (May 9-13, 2012)



NAME-_______________________________________________



ADDRESS-________________________________________________

_________________________________________________



PHONE#-____________________________



E-MAIL ADDRESS-__________________________________________ (required for confirmation)



I will be making my own reservations at the RV Park____ Hotel_____ .



NOTE:
You must call the Hollywood Casino / Hotel at 1-800-946-2442 to reserve your RV site or hotel room using code: HAN0507.

MAIL THIS FORM TO:

Ronald McClain
154 Stafford Rd
Wales, MA 01081-9771