CBX RIDERS CLUB (UK)

RALLY APPLICATION FORM

27^th to 29^th June 2008 – Baskerville Hall Hotel

Clyro Court, Hay-on-Wye, Powys, South Wales, HR3 5LE

Name: ………………………………………………… Address: …………………………………………… …………………………………………………………….. …………………………………………………………….. Postcode: ………………………………………….. Tel No: ……………………………………………… Number of people requiring Friday evening meal ……………………………………..

Membership No: ……………………………… Total Number of people: ……………... Amount enclosed (£13 per person) ……………Cash/cheque/postal order E-mail address ................................... if receipt required. Cheques to be made out to CBX Riders Club and posted to: Tony Smith, Brookmead, Plain Road, Marden, Tonbridge, Kent, TN12 9EH