MSA British Rallycross Championship
in association with ODYSSEY Battery
Night of Champions
&
a celebration of the 50th anniversary of the first rallycross event
Saturday 4th February 2017
at the
Hilton Coventry Hotel
Welcome Drinks start at 6pm
Discounted rate for tickets reserved before 10th December*
Dinner, Awards, Raffle and Entertainment
Dress Code
Black Tie / Dress to Impress
Menu 1
Caesar Salad (CS) or Prawn Cocktail (PC)
Chargrilled Breast of Chicken
With Garlic Cream Sauce or Plain
Served with Potatoes and a selection of Vegetables
Vanilla Cheesecake
With Mango Coulis
Coffee with after Dinner Mints
Menu 2
Caesar Salad (CS) or Prawn Cocktail (PC)
Seared Beef Medallions
With a Peppercorn Sauce or Plain
Served with Potatoes and selection of Vegetables
Vanilla Cheesecake
With Mango Coulis
Coffee with after Dinner Mints
Menu 3 (Vegetarian Main)
Four Cheese Ravioli
With a green pesto sauce and crisp side salad
Please select from the above the menu options .
List either Menu 1, 2 or 3 and your starter choice (CS) Caesar Salad or (PC) Prawn Cocktail for each of your party on the following page. For example Menu 1 & CS
The Menus are not interchangeable with each other.
If there are any children (12yrs and under) please list them separately with a (C) next to the menu number i.e. Menu 1 (C)
We need to inform the Hotel of the exact numbers and any special meal requirements.
Please complete the form below stating names and menu choice.
Tables seat 10 People
Please list the Names of the people in your party so these can be allocated on the table plan.
Names: State Menu Choice 1, 2 or 3 (C = Child)
(CS) or (PC) for Starters
1. ______
2. ______
3. ______
4. ______
5. ______
6. ______
7. ______
8. ______
9. ______
10. ______
*Please reserve ____ Adult tickets and _____ Child tickets for my party for the names listed above at £40.00 per Adult and £20.00 per child
(Form and payment information received by 10th December for the above ticket prices)
Forms received after the 10th December - please reserve _____ £50.00 per Adult and ______£25.00 per child (bookable until 17th December).
Please enclose a cheque made payable to “LHMC” for the Full amount
These will not be banked until Friday 06th January 2017.
Or you can complete the details below for payment to be taken from your Debit/Credit Card.
Payments by Debit/Credit Card will not be taken until Monday 09th January 2016
Card Number: Amount - £
Expiry Date:
Name on Card:
Security Number: (Last 3 Digits on back of card)
House Number or Name ______
Post Code ______
(The above is needed for card security)
(Card payment will incur a 2% fee due to way payment is taken to avoid this please pay by cheque)
All information needs to be returned to Tania Wilson by Saturday 17th December 2015
Please return this form with payment to:
Tania Wilson, 23 Bickington Lodge Estate, Bickington, Barnstaple, Devon, EX31 2LH
Any questions call Tania on 0782 887 4311 or Email
If you want to book any rooms at the Hilton Coventry please contact the hotel directly on 02476 603 000. There is a rate for the “Rallycross Dinner Dance” however sometimes the rate is lower online:
http://www3.hilton.com/en/hotels/united-kingdom/hilton-coventry-CVTHNHN/index.html
The rates for “Rallycross Dinner Dance” are listed below
Standard Room on B&B in a Single is £64.00
Standard Room on B&B in a Twin/Double is £74.00
Family Rooms on B&B available directly with hotel
Executive Rooms at £20.00 supplement per room
Suite at £50.00 supplement per room
These rates are on a first come first served basis so would advise that your reservation is made as soon as possible as once gone there normal rate will apply.
Hilton Coventry, Paradise Way, Walsgrave Triangle, Coventry, CV2 2ST
02476 603 000