2011 Nebraska Samboree Registration. Fields with an * before them are required fields. When you submit your registration you will receive a copy of you registration in your e-mail. Also you will see a thank you page appear in your web browser
* First and Last Name *
Second Person First and Last Name
* E-mail Address *
* Street Address *
* City *
* State *
* Zip Code *
Telephone # (Area Code) xxx-xxxx
Member at Large	Y   N
Chapter Name
* Number of Adults *
* Number of Children
* First Nebraska Samboree Y/N *	Yes   No
* PRE-REGISTERED $70.00 1 rig / 2 people *	Yes     No
* PRE-REGISTERED $65.00 1 rig / 1person *	Yes     No
* NUMBER OF PRE-REGISTERED $30.00 Extra person in
* NUMBER OF PRE-REGISTERED $10.00 Children (age 5-12 )
* NUMBER OF CATERED MEALS FRI NIGHT $8.50 PER PERSON *
* NUMBER OF CATERED MEALS SAT NIGHT $8.50 PER PERSON *
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