Berkshire Centre Rally Booking Form

(venue)

(date)

(approx time) on for night(s)

Address: Telephone:
Mobile:
C/Club No:
Centre (or C/Club):

Length

Adults Teenagers Children

Tickets for social events (if organised) Adults Teens Children
Social only (no food required)
Social with food
Special dietary needs (eg. vegetarian)

(if required please specify which)

By submitting this form, I agree that I will be liable for expenses incurred
through late cancellation or non-attendance.
(please click box to accept)