Mid Anglia Centre On-Line Rally Slip

Mid Anglia Centre 'On-Line' Rally Slip 2010 Season

Enter the Name of Rally

Date of arrival at Rally dd/mm/yyyy Approximate time of arrival

Your Details (first name, last name, address etc)

First Name

Last Name

House Name / Number

Address

City

County

Postal Code

Work Phone

Home Phone

E-mail

Car Registration

Social Attendance

No of Adults No of teenagers No of children (12 years or less)

Your Centre?

Caravan Club Membership Number

Non attendance not notified within 7 days of the start of the rally will be subject to payment of costs incurred.
I understand and accept Centre Rule 6

First Name
Last Name
House Name / Number
Address
City
County
Postal Code
Work Phone
Home Phone
E-mail