Pocono Canna Fest Camper Reservation

Pocono Canna Fest - Camper Reservation Form 2023

JULY 29 & 30, 2023

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone(Required)

Please provide a phone contact. Cell is preferred.

Email(Required)

Business Name

Tent or Camper(Required)

Tent ($15/per site)(Required)

You may register up to 10 sites

How Many Nights(Required)

Camper ($40/per site)(Required)

You may register up to two sites.

How Many Nights(Required)

License Plate(Required)

State (of vehicle registration)(Required)

Name on Vehicle Registration(Required)

Camper Make & Model(Required)

Camper Color

Camper #2

How Many Nights (Camper #2)(Required)

License Plate (Camper #2)(Required)

State (of vehicle #2 registration)(Required)

Name on Vehicle Registration (Camper #2)(Required)

Camper Make & Model (Camper #2)(Required)

Camper Color (Camper #2)

Special Details

Use this field to add any special special detail that will help us reserve your site.

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name