Rallye Historique de Ille-et-Vilaine
July 9th to 12th 2010
BOOKING FORM
Name Driver
Name Passenger(s)
Address
Postcode County
Telephone Home Mobile
Email Address
Car Make/Model Year Colour Reg. No.
Room Requirement Single Double Twin Bedded please delete as required
Rallye Entry Ferry and Hotel @ £
Night in Sarre near Birchington 3star hotel if required £75.00 per double room only £
Extra Night(s) at destination Hotel per room including Breakfast £120.00 per night. £
Sub Total £
Discount if you book your own ferry arrangements £90.00 per vehicle £
Total £
Deposit £200 per car (refundable until final payment date 12 weeks prior to event)
Credit/Debit Cards accepted by telephone or complete details below, credit cards subject to 2.5% Surcharge.
Please charge my Debit / Credit Card Number
Type
Start Date Expiry Date
SSN (3 digits) Postcode House Number
Please Debit my Card Signed
All Deposits and Payments are to be made payable to Mr W Reeves.