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RV City 2019 Registration

  1. RV City Header

  2. Rules

  3. Point Map Showing Waterfront Locations - No Numbers

  4. Point Park (30)

  5. Point Park - Amphitheater

  6. For More Information:

    Please email CommunityRelations@CityofPascagoula.com or call (228) 372-6877

  7. REGISTRATION

  8. RV IS REGISTERED TO:

  9. Name

  10. Permanent Address

  11. Other Contact Information

  12. Driver's License Information

  13. Emergency Contact

  14. ADDITIONAL DRIVER

    Any other individual in your party who is driving your vehicle(s).

  15. Name

  16. Permanent Address

  17. Other Contact Information

  18. Driver's License Information

  19. Additional driver(s) can be listed in the "Notes" section at the bottom of the form.

  20. RV INFORMATION

  21. RV Description

  22. RV Insurance Information

  23. ADDITIONAL VEHICLES

    RV Registration at The Point includes the RV detailed in the section above and up to 2 additional vehicles, excluding trailers. Additional vehicles include Registered Cruisin' Vehicle, golf cart(s), and any other vehicles. Trailers are listed seperately.

  24. Vehicle 1

  25. Vehicle 2

  26. TRAILER INFORMATION

  27. Are you bringing a trailer?

  28. NOTES

    Please provide information on any additional drivers or any information regarding your RV or Additional Vehicles not covered above.

  29. PAYMENT INFORMATION

  30. COST: $500 per RV for the week

    $500 fee payable to Main Street Pascagoula – a registered non-profit organization

  31. Payment Type*

  32. Instructions for Checks

    Make Checks Payable to "Main Street Pascagoula" and mail to 618 Delmas Avenue, Pascagoula, MS 39567"

  33. MM/YY

  34. I authorize "Main Street Pascagoula" to charge my credit card for the above agreed upon purchase. I certify that I am an authorized user of this credit card.

  35. Confirmation will be sent once payment is processed.

    For more information, please email CommunityRelations@CityofPascagoula.com or call (228) 372-6877

  36. SIGNATURE

  37. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  38. Leave This Blank:

  39. This field is not part of the form submission.