MASONIC RV TOURS

2012 NOVA SCOTIA TOUR

26 Days of Touring the Maritimes

27 July – 21 August 2012

Name__________________________________________ NCT #____________

Spouse’s Name____________________________________________________

Address__________________________________________________________

City ______________________________ State __________ Zip ____________

Phone ___________________________ Emergency ______________________

Cell Phone _____________________ Email _____________________________

No of adults _____ No of Children ______Ages__________ No of pets ________

Coach Type ________ Length _______ Overall Rig Length _________

NCT Chapter Name_______________________________ Chapter #__________

Masonic Lodge ______________________, Location & #___________________

Anniversaries / birthdays during tour (Opportunities for parties/socials)

_________________________________________________________________

REGISTRATION FEES: ($US Funds)

$2000.00 Per Unit with 2 Adults                                              $_______________

$ 500.00 for additional person in rig                                        $_______________

$ 300.00 Deposit                                                                     $_______________

Total enclosed                                                                         $_______________

Enclosed is the required registration fee for the Nova Scotia ’12 Tour. I/We hereby release National Camping Travelers, Inc and Florida State NCT Chapter #229 of any responsibility during the tour.

Signed: _______________________________________ Date_______________

Spouse: __________________________________________________________

Mail registration form with check payable to:

19126 SW SR 47

Ft White, FL 32038