11: SSCC 50th BOOKING Anniveraery Form

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Rally Number 11:
South Staffs Centre
50th Celebration Rally
Ukraine Centre Weston-on-Trent.
Friday 28th April to Monday 1st May 2017.

* Indicates required field

Name *

1st Line of Address *

2nd Line of Address: *

Post Code: *

E-Mail: *

Membership Number: *

Phone Number: *

Mobile: *

Centre: (if any) *

Vehicle Reg: Number: *

Date of Arrival: *

Depart Date: *

Number of Adults: *

1: 2: 3: 4: 5

Number of Children: *

1: 2: 3: 4: None:

Childrens Ages: *

PREPAID RALLY FEE Based on 2 adults and 2 children

Extra Charges per Adult £10.00 per extra child £5.00 *

Extra Night available Monday 1st May 2017 (if required @ £ 6.00) *

Total Payable *

Meal Choice – Friday 28th April – Please type the number you require in the box below your choice.

Fish & Chips *

Roe & Chips *

Sausage & Chips *

Chicken & Mushroom Pie & Chips *

Jacket Potato & Cheese & Coleslaw *

Jacket Potato & Cheese & Beans *

Jacket Potato & Cheese *

Jacket Potato & Chilli *

Jacket Potato & Cheese & Chilli *

Beef & Onion Pie & Chips *

Jacket Potato & Tuna *

Do You Have a Caravan or Motorhome: *

Caravan: Motorhome:

If Caravan Single or Double Axel: *

Single Axel: Double Axel:

Would you like to receive Updates and South Staffs Rallies Information *

Yes No

Is This Your First Caravan Club Rally: *

Yes: No:

PLEASE NOTE: You are booking a pre-Paid rally the
marshals will contact you with full payment details.

By submitting this form, I agree that I will be liable for expenses incurred through late cancellation or non-attendance and full payment of any booked socials. *

Yes I accept

BOOK NOW

southstaffscaravanclub.co.uk
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