THE CANNONBALL RUN

2012 Event Registration & Entry Form.

Entry fees are based on one car and two drivers sharing accommodation (Hotel or Camping), breakfasts & evening meals (where applicable), car decals, route packs and sea crossings. Additional drivers will be charged at the appropriate fee depending on the event. Single rooms will be charged at the rate applicable to each event.

VEHICLE DETAILS

Make / Model / Year / Team Name

PERSONAL DETAILS

Driver 1. / Driver 2. / Driver 3. / Driver 4.
Name: / Name: / Name: / Name:
Address: / Address: / Address: / Address:
Post Code / Post Code / Post Code / Post Code
Telephone / Telephone / Telephone / Telephone
Mobile / Mobile / Mobile / Mobile
Email / Email / Email / Email
Accommodation
Double/Twin Room
Camping Number of Pitches / Accommodation
Double/Twin Room
Camping Number of Pitches / Accommodation
Double/Twin Room
Camping Number of Pitches / Accommodation
Double/Twin Room
Camping Number of Pitches
Details of any Health or Medical Problems or special Dietary requirements. / Details of any Health or Medical Problems or special Dietary requirements. / Details of any Health or Medical Problems or special Dietary requirements. / Details of any Health or Medical Problems or special Dietary requirements.

CHOOSE YOUR EVENT.

Event Name. / Cost. (per car & two drivers) / Number of Cars. Number of Drivers. / Deposit.
Isle Of Man Run / £975.00 / £150.00
East To West Coast Run / £175.00 / £30.00
Autumn Run / £350.00 / £75.00
Event Name / Cost per extra driver / Number extra drivers / Deposit
Isle Of Man Run. / £425.00 / £150.00
East to West Coast / £75.00 / £30.00
Autumn Run / £160.00 / £75.00

Please Note that Single Room Supplement for Isle Of Man Run & Autumn Run are £150.00

DECLARATION & AUTHORISATION.

I/We declare that I/We have read and accept the Terms & Conditions of booking and that I/We agree to adhere to them. I/We request the Event Organisers to book the Event Packages as stated in the Event Registration & Entry Form. I/We further declare that I/We am/are over 18 years of age.

Driver 1.

Name…………………………. Signature…………………………… Date……………..

Driver 2.

Name…………………………. Signature…………………………… Date……………..

Driver 3.

Name………………………… Signature…………………………… Date……………..

Driver 4.

Name………………………… Signature…………………………… Date……………..

Isle Of Man Run is Limited to 50 Cars.

East to West Coast Run is Limited to 60 Cars.

Autumn Run is Limited to 50 Cars.

PLEASE MAKE YOUR CHEQUE PAYABLE TO: The Cannonball Run Events.

PLEASE RETURN TO:

The Cannonball Run, 38 Noble Drive, Cawston, Rugby, CV22 7FL.

Tel: 01788 521815 or 07749 297715.

If you have any questions or queries, please feel free to call us or use the contact form on the website