Bledfest Rally Booking Form
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Email *
Rally Name : *
Your Name : *
Name of person completing this booking
Name of person completing this booking
My party includes :
Names of others attending with you, please give age of under 17s
Names of others attending with you, please give age of under 17s
Membership Number : *
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First Line of Address : *
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Postcode : *
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Phone number  : *
Your most contactable number
Your most contactable number
Your Unit Details : *
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Are you a Bucks Centre Member
BUCKS MEMBERS PLEASE LEAVE BLANK
Please state your Centre Name or Non Centre
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
IF YOU HAVE RALLIED WITH US BEFORE PLEASE LEAVE BLANK
Clear selection
Evening Social Activities : *
Will you be joining in with our Evenings Activities
Will you be joining in with our Evenings Activities
Any Dietary restrictions
IF NONE PLEASE LEAVE BLANK
IF NONE PLEASE LEAVE BLANK
Your arrival time : *
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Your arrival DAY Thursday or Friday : *
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Vehicle Registration : *
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Blue Badge Holder :
IF NO PLEASE LEAVE BLANK
IF NO PLEASE LEAVE BLANK
Clear selection
Your celebrations :
IF NONE PLEASE LEAVE BLANK
IF NONE PLEASE LEAVE BLANK
Are you using your First Time Rallier £10 Certificate
(Certificate awarder after your first rally with us)
IF NO PLEASE LEAVE BLANK
(Certificate awarder after your first rally with us)
IF NO PLEASE LEAVE BLANK
Clear selection
BUCKINGHAMSHIRE MEMBERS ONLY :
Are you using any of your Rally Reward (Points/£'s) towards this Rally Fee.
IF NO PLEASE LEAVE BLANK
IF NO PLEASE LEAVE BLANK
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.
Social fees cannot be included.
IF NIL PLEASE LEAVE BLANK
IF NIL PLEASE LEAVE BLANK
In Case of Emergency (ICE) Details *
Please Give a Name and Contact Number (Person NOT with You on the rally)
Please Give a Name and Contact Number (Person NOT with You on the rally)
Please confirm you have seen and agree to all our "Rally Terms and Conditions" : *
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Required
A copy of your responses will be emailed to the address you provided.
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