Appledore Holiday Rally Booking Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete all required details to book onto this rally
Please note a non refundable deposit of £25.00 is required with this On-Line Booking
Our full bank details are shown below

Email *

Rally Name : *

Your Name : *

Name of person completing this booking

My party includes :

Names of others attending with you, please give age of under 17s

Membership Number : *

First Line of Address : *

Postcode : *

Phone number : *

Your Unit Details : *

Are you a Bucks Centre Member

BUCKS MEMBERS PLEASE LEAVE BLANK
Please state your Centre Name or Non Centre

Is this your first Buckinghamshire Centre Rally :

IF YOU HAVE RALLIED WITH US BEFORE PLEASE LEAVE BLANK

Yes this is my/our First Visit

Clear selection

Evening Social Activities : *

Will you be joining in with our Evenings Activities

Yes

Any Dietary restrictions

IF NONE PLEASE LEAVE BLANK

Vegetarian

Vegan

Kosher

Gluten-free

Other:

Your arrival time : *

Your arrival Date : *

Vehicle Registration : *

Blue Badge Holder :

IF NO PLEASE LEAVE BLANK

Yes

Clear selection

Your celebrations :

IF NONE PLEASE LEAVE BLANK

Are you using your First Time Rallier £10 Certificate

(Certificate awarder after your first rally with us (Bucks Members Only))
IF NO PLEASE LEAVE BLANK

Yes

Clear selection

BUCKINGHAMSHIRE MEMBERS ONLY :

Are you using any of your Rally Reward (Points/£'s) towards this Rally Fee.

Yes

Clear selection

BUCKINGHAMSHIRE MEMBERS ONLY :

If you are using any of your awarded Rally Reward Scheme balance, please state the amount up to the maximum of £25 per rally, this will be deducted from your total balance available but cannot be used as your rally deposit.

Social fees cannot be included.

IF NIL PLEASE LEAVE BLANK

In Case of Emergency (ICE) Details *

IN CASE OF AN EMERGENCY
Please supply contact details of for a person NOT WITH YOU on the Rally
This person will only be contacted in case of an emergency
PLEASE SUPPLY THEIR NAME AND CONTACT NUMBER

Please confirm you have seen and agree to all our "Rally Terms and Conditions" : *