ENTRY FORM

VINTAGE & CLASSIC CARS

AND

MOTORCYCLE SHOW

SUNDAY 8^th AUGUST 2010

AT

TOWNELEY PARK,

BURNLEY

Please complete in BLOCK CAPITALS,

NAME………….................................................…TEL.NO…………………………............

ADDRESS……………………………………………………………………………………

……………………………………………………........POST CODE………………………

MAKE OF VEHICLE…………………………………………………

MODEL…………………………………………………………………………………….

YEAR……………………………REGISTRATION NUMBER……………………………………

CAR CLUB (If entering as a club) ……………………………………………………………………….

Entry fee £5.00 per vehicle £3.00 per motor bike

Payable by cheque / postal order to P&DRA

CONDITIONS OF ENTRY

I agree to indemnify and hold members of P&DRA, Burnley Rotary Club

and Burnley Borough Council and its employees free from any claims

that have been caused by me or persons under my direction

or by my vehicles or my equipment.

Signed………………………………………………………….date…………..

Please send your entry form enclosing the fee with a STAMPED ADDRESSED ENVELOPE

(No SAE - No reply)

BILL HEYWOOD,

17,Pye Busk Close,

Bentham,

Lancaster.

 LA2 7BG

TEL 015242 61429

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