Rally Host Data Sheet
                   
            For Newsletter


Host/s____________________________ Phone No.____________

Co-Host/s_________________________Phone No.____________

Dates:_______________Location:__________________________

Address:_______________________________________________

City:_____________________ST:___ Phone No.______________

Driving Directions:______________________________________

_______________________________________________________

Activities and meals Planned______________________________

_______________________________________________________

Attractions available_____________________________________

_______________________________________________________

Camping Costs_________________________________________

Meal Costs_____________________________________________

Reservation Contact:____________________________________

                        
    Please turn into Vice-President:
                            
              Rick Groves
                                   7160 Sacramento Drive
                                     Greenfield, IN  46140