In aid of
THE MAYOR OF HAVANT’S CHARITY APPEAL FUND2012/2013 - SUNDAY 14 APRIL 2013
ENTRY FORM Entry No…………………….
NAME...... …………......
ADDRESS...... …………...... ……...... …………………….……………………………………………………
POSTCODE...... ………. .HOME TELEPHONE NO ……………………………..
VEHICLE DETAILS – (Open to vehicles up to and including 1987)
Make:...... …………………….Model...... ……………………………Year of manufacture...... …………….
Registration No......
Please ü relevant box. Motorcar o Motorcycle o
Please ü box to indicate your choice of motorcar route both routes approx. 30 miles
Scenic route o or more Urban route o
Please box to indicate preferred route (motorcycle) 50 miles or 35 miles
If member of a vehicle club please state......
To assist with catering and arrangements please state the total number of persons to be
in your vehicle. Number …………… Name of Driver …………………………………
Please return this form as soon as possible but no later than 19 March to:
Anne Thurlow Mayor’s Parlour, Public Service Plaza, Havant, Hants, PO9 2AX
Tel: 023 9244 6152 e mail:
I declare that my exhibit will be insured against third party risks whilst taking part in this event.
Signed ……………………….…………………... Date ……………………………………….. / CLASSIC VEHICLE RUN
In aid of
THE MAYOR OF HAVANT’S CHARITY APPEAL FUND2012/2013 - SUNDAY 14 APRIL 2013
ENTRY FORM Entry No…………………….
NAME...... …………......
ADDRESS...... …………...... ……...... …………………….……………………………………………………
POSTCODE...... ………. .HOME TELEPHONE NO ……………………………..
VEHICLE DETAILS – (Open to vehicles up to and including 1987)
Make:...... …………………….Model...... ……………………………Year of manufacture...... …………….
Registration No......
Please ü relevant box. Motorcar o Motorcycle o
Please ü box to indicate your choice of motorcar route both routes approx. 30 miles
Scenic route o or more Urban route o
Please box to indicate preferred route (motorcycle) 50 miles or 35 miles
If member of a vehicle club please state......
To assist with catering and arrangements please state the total number of persons to be
in your vehicle. Number …………… Name of Driver …………………………………
Please return this form as soon as possible but no later than 19 March to:
Anne Thurlow Mayor’s Parlour, Public Service Plaza, Havant, Hants, PO9 2AX
Tel: 023 9244 6152 e mail:
I declare that my exhibit will be insured against third party risks whilst taking part in this event.
Signed ……………………….…………………... Date ………………………………………..