North Wales Land Rover Club
Tel: 07768 958906
Interclub Booking Form

Personal Details

Camping Booking Details

Full Weekend Booking Friday - Sunday
£45.00 per pitch
Additional Nights Thursday (limited facilities)
£5.00 per night
Additional Nights Monday (limited facilities)
£5.00 per night
Per Night fees
£15.00 per night
Total Fee Paid
£
 

Trial Details

CCV trial Saturday 27th August £21.00
RTV Trial Saturday 27th Auguest £21.00
Tyro Trial Sunday 28th Auguest £10.00
DECLARATION: I have read the general regulations of the Motor Sports Association and if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that i am physically and mentally fit to take part in the event and i am competent to do so. I knowledge that i understand the nature and type of competition and the potential risk inherent with the motor sport and agree to accept the risk. Further I understand that all persons having any connection with the promotion and/or organization and/or conduct of the event are insured against loss or injury caused thought their negligence.

Emergency details

Name and Address of the Person to be notified in the event of an accident (this should not be co-driver)
Total Amount Payable    £
 

SIMPLY CLICK SUBMIT TO SEND YOUR DETAILS TO US AND BE DIVERTED TO PAY THROUGH PAYPAL.

ALTERNIVATELY: Please make all cheques Payable to North Wales Land Rover Club Ltd

Please send cheques and booking form to

Wyn Williams Hender Isa, Pentre Isa, Llangernyw, Abergele, LL22 8PH

Download and Print your booking form here Download Form