RV’s/ Camping – Application for Space

Spaces are available for RV’s campers with water and electricity -- no septic. Cost is $15 per day.  Camping reservations MUST be made in advance and paid for at the time of the reservation.  Checks are to be made payable to Azan Shriner's Center.  Any violations of rules will be cause for being asked to leave the premises.  Use RV/Camping reservation form to make reservations, which will be on the Florida Gourd Society web site shortly.

 

 NAME:_________________________________________________________________

 

ADDRESS:  _____________________________________________________________

 

________________________________________________________________________

 

PHONE:  _______________________________________________

 

EMAIL:  _______________________________________________

 

________(NUMBER OF NIGHTS x $15 PER NIGHT = _________________

 

_____________________________________ WHAT NIGHTS (THURS, FRI, SAT)

 

______________AMP                                               _____________LENGTH OF RV

 

MAIL CHECK TO:               MICHELINE "RUSTI" NICHOLS

                                                8485 S. TROPICAL TRAIL                         

                                               MERRITT ISLAND, FL  32952

 

QUESTIONS:                        michelinenichols@gmail.com                                                 PHONE:  321-446-3907

 

REMINDER:  ALL RV’S MUST VACATE THE  GROUNDS BY MONDAY AT 8AM