UWAC 2023 Portneuf Bend Rally registration

Lava Hot Springs Rally May 18-21, 2023

INSTRUCTION: Please complete the registration process by filling in the form below and submitting the required electronic payment. Payment for campground reservations is handled separately by each registrant. REGISTRATION PROCESS CLOSES April 15, 2023. Please make your individual campground reservations and register ASAP as we expect this rally to fill up quickly.
PORTNEUF BEND CAMPGROUND: https://www.portneufbendcampground.com/

YOU HAVE TO CALL (208) 530-1595 TO MAKE YOUR CAMPING RESERVATIONS! Let them know you are with Utah's Wasatch Airstream Club. We have site numbers 49-60 held until April 15. YOU MUST HAVE YOUR OWN RESERVATION before completing this form and registering for the rally.
IMPORTANT EVENT NOTES:
Please carefully read these notes & restrictions prior to registering.
Event Name:*
(Event name for tracking)
Full Name*

First Name Last Name
Names of Other Attendees in Your Party:

Street Address Line 2

City State / Province

Postal / Zip Code
WBCCI Number (Big Red Number)*
Example: 1218
Are you a member or affiliate member of Utah's Wasatch Airstream Club?*

Yes - registered member of UWACYes - registered affiliate member of UWACNo
Do you already have your own individual reservation at Portneuf Bend Campground?*

Yes - individual reservation made at Portneuf Bend CampgroundNo - requesting "stand-by" participation (if someone cancels; participation is not guaranteed)
Make of Recreation Vehicle being Utilized *
Registration is limited to one (1) Airstream-made RV per member; non-Airstream RVs are not permitted.
E-mail*
example@example.com
Cell Phone Number*
Is this your first time attending a UWAC rally?

YesNo
PAYMENT: Payment is due at the time of registration. Please pay via the linked PayPal method which will appear at the end of the registration process. Your registration is not complete until you have recieved the confirmed PayPal payment notice.
Rally Fee:*
prevnext( X )
$18 per personEnter number of rally participants in your party (Maximum of 6)
$18.00 Number of Attendees:

Total

$0.00
Should be Empty:

Lava Hot Springs Rally May 18-21, 2023

PORTNEUF BEND CAMPGROUND: https://www.portneufbendcampground.com/