Name ________________________________________________________________
Address________________________________________________________________
City_________________________ State _________________Zip Code______________
Phone _________________________ Additional Phone__________________________
E-Mail Address ________________________Fax No.___________________________
Arrival Date __________________________ Departure Date _____________________
RV Model Type And Size__________________________________________________
License Plate Number and State____________________________________________
. Please indicate site All groups must fill out registration forms separately
numbers requested and refer to all sites on each form.
Number of sites requested_________ Site numbers (Refer to site plan)____________________________________
I request permission to bring a pet _________ Type of animal and weight ____________
I will require septic pump out service @ $25.00 per pump out Yes ______ No _____
Showers will be available @ $5.00 per shower Yes_____________ No ____________
Would you be interested in your own private Port A John ? Yes ______ No _______
Will you be needing Ice over the weekend ? Yes _____________ No _____________
Total amount due from pricing pages Site amount $__________ Deposit $________
Septic service $_____________ Other $_____________
Balance Due $_______________________
Total $ _______________________________________________
E- MAIL TO: RKD333@aol.com FAX TO: 708-403-4999
Contact Us @ (708-955-8800 or 708- 403-4199)
Please submit Registration form by E-Mail Fax or US Mail to:
MAIL AND SUBMIT ALL PAYMENTS TO: RACE CAMP LLC, 9800 W 165th ST, ORLAND PARK IL. 60467
RACE CAMP LLC
9800 W 165th ST
ORLAND PARK IL. 60467
All sites to be prepaid in full by check cash or money order to reserve your requested site DO NOT SEND CASH you can make arrangements to drop off a cash payment if you wish. Confirmation occurs when your check has cleared the bank or when your Money Order has been received. You will be notified as soon as payment is secure.
You can arrive as early as the Wednesday afternoon after 12 pm prior to the race weekend and stay until noon 12 pm the Sunday morning preceding the race. No additional charges will apply should races be delayed by weather.
Please use this space for any additional information you may require or any special requests. Thank You.
Please read all camping rules carefully and sign and return rule sheet to us with Registration form. This MUST be completed to confirm and reserve your site !