2025 Goose Creek, Washington, NC - May 2025

1
Attendee #1 Name* This field is required.
First Name
Last Name
2
Attendee #2 Name
First Name
Last Name
3
BRN* This field is required.Big Red Number
Type in your WBCCI (Big Red Number) membership number
4
Attendee #1 Email* This field is required.
example@example.com
5
Attendee #2 Email
example@example.com
6
Attendee #1 Mobile Phone* This field is required.
Type in your mobile phone number
7
Attendee #2 Mobile Phone
Type in your mobile phone number
8
Number of People Attending* This field is required.
9
Names of Any Other Additional AttendeesFirst and Last Names of any other additional attendees besides the primary and partner members
Attendee #3
Attendee #4
Attendee #5
Attendee #6
10
Planned Arrival Date* This field is required.Rally Dates: September 25 - 28
Date
Month
Day
Year
11
What BEST describes your local club membership?
Piedmont NC Airstream Club is my primary HOME club
I am an affiliate member of Piedmont NC Airstream Club
I am neither a primary nor an affiliate of Piedmont NC Airstream Club
12
If not Piedmont NC, my Primary home club is:* This field is required.
13
Campground Resevations should be made directly with the campground at:

Black Dog Acres RV Park

4192 NC-268

Pilot Mountain, NC 27041

Ph. No. : 336-351-4444

OR USE THIS LINK FOR ONLINE RESERVATION:

https://resnexus.com/resnexus/reservations/group/1E937F57-C251-4DA6-A449-51A9008E4241?GID=93d89b56-cc52-46df-8d26-2b0c76eabf93
14
My Products* This field is required.Click on the "+" icon to enter the number of attendees
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
2025 Mayberry Rally Rally Fee is $15.00 per person.
$15.00Edit
Back
0
0
1
2
3
4
5
6
7
8
9
10
Quantity
Total cost $0.00
Credit Card
First Name
Last Name
15
You have completed your form! Please click on the Submit button, and you will receive an email confirmation.

Thank you!
Should be Empty: