DESERT BLOOM RALLY MEMBERSHIP FORM

2020 DESERT BLOOM MEMBERSHIP

Become a Desert Bloom member and join our Desert Bloom Family!
Full Name*

First NameLast Name
E-mail*
Address

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone Number

Area CodePhone Number
Cell Phone Number above to be used only for emergencies at the event.
A full calendar year membership is $125. Memberships are not prorated and expire each December 31. Members may purchase a $75 pass for each guest. Please select the number of guests below.
How many annual memberships are you paying for? ($125 for the 1st person and $75 for each guest)*
Person 1 T-Shirt Size*
Person 2 T-Shirt Size*
Person 2 Name*
Person 3 T-Shirt Size*
Person 3 Name*
Person 4 T-Shirt Size*
Person 4 Name*
Person 5 T-Shirt Size*
Person 5 Name*
Person 6 T-Shirt Size*
Person 6 Name*
Person 7 T-Shirt Size*
Person 7 Name*
Person 8 T-Shirt Size*
Person 8 Name*
Person 9 T-Shirt Size*
Person 9 Name*
Notes (What would you like us to know that we haven't asked?)
Calculated Amount Due
Total Amount Due

prevnext( X )
USDDesert Bloom Rally
Should be Empty:

2020 DESERT BLOOM MEMBERSHIP