Atv Jamboree Registration :: Conconully Washington Chamber of Commerce

ATV Jamboree Registration Form

Registration Form (download or print if you don't want to submit the online form for some reason)

Hold Harmless Agreement:

By submitting this form the undersigned accepts and assumes all risks, claims, actions and damages direct or indirect, which is sanctioned by the Conconully Chamber of Commerce. I expressly agree that I will hold the Conconully Chamber, the event directors, the Town of Conconully and all of their respective officers, employees, agent representatives, successors and assignees harmless, and otherwise indemnify the same, from and against such risk, claim action, or damage arising from my participation in any event. It is my expressed intention that this disclaimer and hold harmless agreement is binding upon my agents, representatives, heirs and assignees. ~ All photos taken during show are property of Conconully Chamber & may be used for advertising

Payments:

Submit form to pay online, or obtain an application ID to include with a mailed check for $40 by June 1st to:

Conconully Chamber of Commerce
PO Box 309,
Conconully, WA 98819

If you have any questions please contact:

Would you like to be a vendor or have a table for the swap meet? If so, please call:
Conconully Chamber at 509-826-9050

Name	*
Street	*
City	*
State	*
Zip	*
Phone	*
Email	*
T Shirt Size	*
Extra T Shirt	$20
EMail me a copy of this submission
	After you submit this form you will be taken to a page that will give you an application ID (for mailing a check) and also provide you with an opportunity to pay online if you choose.

* = required