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2. 
3. APPLICATION FOR CRYSTAL SPRINGS CAMPGROUND HOST
5. Full Name
6. Email Address
8. Physical Address
10. City
11. State
12. Zip Code
14. Mailing Address
16. City
17. State
18. Zip Code
20. Phone Number
21. Fax Number
23. Are you a current or past Fairbury utility customer?

    1. Yes
    2. No
24. Have you camped at Crystal Springs before?

    1. Yes
    2. No
26. What type of camping unit will you be using if you are selected as a Camping Host?

    1. Recreational Vehicle (RV)
    2. Trailer
    3. Pick-up Camper
    4. Tent
27. What type of hookup is needed?

    1. 20 Amp
    2. 30 Amp
    3. 50 Amp
    4. N/A
29. First Choice (end date must be at least two weeks after start date)
30. Second choice (end date must be at least two weeks after start date)
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field