LEICESTERSHIRE CENTRE BOOKING FORM
No.25, BELVOIR CASTLE 3 - 5 September 2010
Name:
*
Address:
*
Post Code:
Membership No.
*
E-mail:
*
Phone:
*
Mobile:
Centre:
*
Is this your First Rally as a Leicestershire Member?
Yes
No
Car Registration:
*
No. of Adults:
*
No. of Teenagers:
No. of Children:
Ages of Children:
No. of Social Tickets required:
Extra Information
In sending this booking I agree to abide by the Rules of the Leicestershire Centre and pay for any expenses incurred on my behalf in the case of non-attendance.
*
I Agree
Submit
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