Event Booking Form
Print this page, enter your details clearly, and post it, with your deposit cheque, or FAX it, with your Credit Card Details, to us. Deposit must be for €25 per competitor (minimum €250)Before submitting your application, check the date availability on 056 - 7768914 or 087 - 2464872
| Name of Organiser |
Name of Group |
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| Contact Address |
Telephone Fax Number e-mail address |
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| Event Selected |
Date Selected / / |
Arrival Time at Circuit : |
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| Number of Participants |
Tell us if this a special occasion? |
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N.B. A deposit of €20 per participant is required at time of booking |
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| DEPOSIT DETAILS |
tick box below as appropriate |
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Deposit paid € : |
Cheque |
Postal Order |
Cash |
Credit Card see below |
| Card Number | Expiry Date | |||
| Signature |
Application Date / / |
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Return the completed form, with your deposit or Credit Card details, to :-
by post: KILTORCAN RACEWAY, KILTORCAN, BALLYHALE, CO. KILKENNY.
or by Fax: +353 - (0)56 - 7768914