REGISTRATION RALLY FORM

REGISTRAION FORM ALABAMA UNIT RALLY

(If you have trouble printing this form – you can copy and paste this information into a word processing document for printing).

Please send this registration form and check to Mr. Rylee.

Alabama Rally name you wish to participate in: AL State Rally (Apr 19-22)____

Rally fee is $15.00 per person. ____________________

Name_________________________________

WBCCI #___________

Guest(s)____________

Arrival Date_______

Number of Persons________X $15.00= ________________

Emergency Contact Information

Name____________________________________

Relationship to you______________________

Telephone Number______________________

* Number going to DeSotos on Thursday add $15 per person to your check.

* Number going on boat tour of Five Rivers on Friday add $15 per person to your check

Send your registration form and check to: Mr. John Rylee

485 Winding Wood Dr, Wetumpka, AL 36093

334.514.0252

Thank you for being a part of the rally.