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                BAILEY OWNERS CLUB CHARITY RALLY 2017
            Ratcliffe College, Ratcliffe on the Wreake, LE7 4SG
                          supporting DEMENTIA UK  
                                    Wednesday 23rd August 2017 to Monday 28th August 2017
£13 Per Unit Per Night - £1 Rally Fee Per Day - Deposit Required £10
First & Last Names
Spouse/Partners Name
Names of other adults
Address    
     
     
       
Post Code
Email Address
Home Telephone No.
Mobile Telephone No.
Vehicle Registration
Unit Type                  Caravan / Motorhome
Day of Arrival & Approx Time Wed   Thurs Fri Sat   Sun               :
Day of Departure        Thurs       Fri       Sat     Sun       Mon
Do you need to be sited near                    Yes                       No
to the hall for medical reasons
Plaque required @ £1                    Yes                       No
Names of Children U16 1
  2
  3
Please send slips & a NON refundable Deposit of £10 to: Mr Lee Sheldon
9 Meadowsweet Way, Kingswinford, West Midlands, DY6 8XR
Tel: Home: 01384 280468 Mobile: 07495 364551 leesheldon@talktalk.net
How did you hear about the rally?
     STRICTLY NO ARRIVALS BEFORE 12PM ON WEDNESDAY 23RD AUGUST
PLEASE COMPLETE THE FORM IN BLOCK CAPITALS AND IN FULL