deRV Adventure     Discover America
    Group Registration
Request Information.
Tell deRV Adventure About Yourself
First Name
Last Name
Female
Male
Address (line 1)
Address (line 2)
City
State
Zip code
Phone Number
Email
Your Profession
School Name
City
State
Zip code
Where do you want to go?
Favorites*
40-day Alaska SuperTrip*
Mt. Rushmore*
Acadia National Park
Myrtle Beach
Arches & Canyonlands*
Niagara Falls
Big Bend
Olympic National park
Cape Hatteras
Oregon Dunes*
Carlsbad Caverns
Rocky Mountains
Craters of the Moon
Sequoia & Kings Canyon
Everglades
Shenandoah National Park
Grand Canyon
Voyageurs National Park*
Great Smoky Mountains
Waterton-Glacier
Idaho Whitewater Rafting
West Virginia Outdoor Adventure
Lake of the Ozarks
Wisconsin Tractor Pull & Rodeo
Mammoth Cave
Yellowstone & Grand Tetons*
When would you like to depart?
Departure Month/Day/Year
Comments
Chaperone Benefits
  • FREE Travel
  • Good Sam RV
    Emergency
    Road Service
  • National Parks
    Pass
  • $1000 Referral
    Bonus
  • Earn a FREE
    TRIP for your
    group
As the chaperone of a
group, you will be
enrolled for FREE in

Good Sam RV
Emergency Road
Service.  For one year,
this will be available to
protect you 24 hours a
day, 7 days a week.  
Services include:
  • 24-Hour Toll-
    Free Emergency
    Dispatch Service
  • Lock Out Benefit
  • Tire Service
  • Jump Starts
  • Fuel Delivery
  • Traveling in the
    U.S or Canada
  • Towing Service
  • And More!
Also, as chaperone
you will receive a
National Parks Pass
valid for one full year
for all passengers in
your vehicle.  The
National Park Pass will
cover the entry fees
for all
National Park
Service parks,
monuments, historic
sites, seashores,
battlefields, etc.  On
January 1, 2007 this
will transition to the
new Federal Lands
Pass.
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