North American Dog Agility Championships
September 17-21, 2008

CAM-PLEX Multi-Event Facilities
1635 Reata Drive
Gillette, WY 82718
Office: 307-682-0552
Fax:     307-682-8418


**All Camp Sites are on CAM-PLEX Grounds**

If you have questions while completing this form, please call Barbara at
CAM-PLEX, 307-682-0552 or e-mail barbara@cam-plex.com

Please complete and print the form below. You can fax or mail it to the above address
to the attention of Barbara Steele.

                        RESERVATION INFORMATION

Name  
Address   
City/State/Zip  
Phone   
Arrival Date:    Departure Date:
   MM DD YY    MM DD YY

 Early arrival is available beginning Monday, September 15.
Campgrounds must be vacated by Monday, September 22
unless arrangement are made with Barbara

 

CAMPING FEES
Handicapped?    Yes                      No
  CAMPING FEES - September 15-21, 2008 
       

Quantity

Type of Service per day

 Number of Days

    Cost

 

Full Service Hookup @ $18.00 per day
(water, sewer, electric)

 

  

 

Water & Electric Hookup Only @ $15.00 per day
(sewer hook-up on site)

 

  

 

 Dry Camping  @ $10.00 per day
(no services)  

 

  

       

TOTAL CAMPING:

  $  

** Reservations will not be accepted without payment in full**

 We accept Checks or Credit Cards (MasterCard or Visa only)
 *Please note - CAM-PLEX is also know as Campbell County Public Land Board and will appear        
on your credit card statement as such

Please select your form of payment  -(Required)

Credit Card Number (Required)

 
Name as it appears on your card (Required) 

 Expiration Date (Required)
                 

 

I agree that I am responsible for payment, and that my RV unit must be off CAM-PLEX grounds by 12:00 noon, September 22, 2008.  I agree, in consideration for being able to participate in this event, to release and to indemnify and hold harmless Campbell County Public Land Board, CAM-PLEX and its employees, from all liability for injury or damages to my person or property, or the property of persons who accompany me to this event.

 

Card Holder Signature:________________________________   Date: _________________