Venue / Nottingham Castle, Nottingham NG1 6EL
Date of event / Thursday 12 to Saturday 14 October 2017
Closing date for entries / When all tickets are sold
Please complete all sections in BLOCK CAPITALS. CSSC membership numbers must be included. You may find it helpful to ‘Tab’ from one field to another.
1. Your Details (Delete as applicable)
Title: / Forename: / Surname:Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
Other group members
Name / CSSC Number2. Entry Fee
Exclusive to CSSC members from Derby & Nottingham area. Places are limited and on a first come first serve basis. (This is entry form with payment)
Tickets are available for
Thursday 12 October all day 10 tickets
Friday 13 October all day 30 tickets
Saturday 14 October all day 10 tickets
Full cost £21.60 after discount is applied cost will be £10 per ticket
Anyone who is not a CSSC member pay the full price.
Places will be accepted on a first come first served basis.
Total amount enclosed: / £ / No. of cheques enclosed:5. Important Information
Medical: Please let us know if any member of your group has any physical or medical conditions
Yes/No (Delete as applicable)
If yes, please give detailsAny Dietary Requirements
IMPORTANT: These events are active and members should be aware of the physical activities involved. CSSC reserves the right to cancel the event if under subscribed.
All CSSC members taking part in the event are covered by CSSC Sports and Leisure Public Liability Insurance. Please note that this policy is NOT a Personal Accident Policy. Members are encouraged to take out their own insurance policy.
Any enquires directly linked to the event please contact Nigel Daniels on
The entry price is subsidised by CSSC Derbys & Notts area. Cheques should be made payable to CSSC Derby & Notts Area. You can however pay via BACs to the following account HSBC bank details are: Sort Code 40:35:18 Account Number 94635779. If you pay by BACs please mention your name and Beer Festival and email the organiser when payment has been made.
Forms must be sent to Nigel Daniels and will be accepted on a first come first serve basis.
Signed: Date:
Please send all forms and cheques to:
Post: Nigel Daniels
HMRC
WMBC
Heritage Team
2nd Floor
Ferrers House
Castle Meadow Road
Nottingham
NG2 1BB