All fees listed are for 1 RV and will be calculated for the "number of adults attending" as selected below. If you have a special registration need, please register by phone at 888-757-2582. Cancellation fee is $25 and is automatically deducted from your refund. No refunds after September 1, 2010.

Last Name

First Name

Partner's Name

Mailing Address

City

State/Province

Zip/Postal Code

Country
United StatesCanadaMexicoOther

E-Mail Address:

Registration confirmation will be sent via e-mail from: registration@escapees.com.

Phone:

Number Of Adults Attending
1 (-$50)23 (+$50)

HOP Registration
None
Amish Back Roads Tour (+$110 per person)
Michiana Tour (+$105 per person)

Parking Option (Prices listed for one rig)
Prices are listed as ($ Member Price / $ Non-Member Price)
Water and Electric Only (+$260 / +$310)

Early Arrival
None
Sept 10 (+$50 full hookup, +$44 water and electric)
Sept 11 (+$25 full hookup, +$22 water and electric)

Type of RV
Motorhome
Travel Trailer
MDT
5th Wheel Trailer

Length: feet

Handicapped
No
Yes

Handicapped Placard ID#

If "Handicapped" selected above, please describe your disability or special need:

Escapees RV Club Membership Number

(Membership number is required to in order to receive a registration discount. Please leave blank or put "Non-Member" if you are not an Escapees RV Club member)

Special Notes:

• Only those registered for MARKET may sell products or services at Escapade.
• If you are Escapees Staff, a market helper, or chapter/row representative; you will have to register by phone.