Registration

Register using PayPal or print the form at the bottom of this page and mail in with your payment.

Acceptance Mark

Registration

Chicken Drop Tickets
 

Pre-Register for a chance to win a free spa treatment.

 

18th Annual Rocky Point Roundup
Rocky Point, Mexico
October 19-21, 2012
REGISTRATION FORM

Name___________________________________________________

Address_________________________________________________

City________________________State________Zip_____________

Phone(___)______________Email___________________________


Name___________________________________________________

Address_________________________________________________

City________________________State________Zip_____________

Phone(___)______________Email___________________________


Name___________________________________________________

Address_________________________________________________

City________________________State________Zip_____________

Phone(___)______________Email___________________________

            Would you like to volunteer?__________

AA____________Alanon___________Alateen____________

Dances with registration.


Pre-Registration ....................$25.00 each # ____$___________
 
Chicken Drop ........................$10.00 each # ____$___________

Total Enclosed......................................................$___________

Make check payable and mail to:

RPR
P.O. Box 10756
Glendale, AZ 85318

Pre-registration must be received by October 10, 2012

· Pick up Pre-Registration packets at the
RPR registration area at the hotel.

For More Information, email us at rockypointroundupregistration2011@hotmail.com