DRIVER DETAILS Name*FirstLast E-mail* Phone: (home and/or mobile)* Address* House number or name Street Address Town/City Postcode County CountryCO-DRIVER DETAILS Co-driver*FirstLast Number of others in partyCAR DETAILS Make:* Model:* Year:* Registration No:* Colour:*REFRESHMENT REQUIREMENTSTo assist the caterers please confirm your refreshment requirements: No of places for roll and coffee at £5.00 per person (Blairgowrie Golf Club) :* No of places for High Tea at £13.95 per person (Atholl Palace Hotel):* Special requirements: vegetarian option etc:DISCLAIMER It is a condition of entry that Rotary Club of Blairgowrie may use the names, town/city and car details entered above and photographic images of the car for publicity and for distribution to other entrants. Please confirm that you accept this condition. YesNo[ Rotary Club Of Blairgowrie Benevolent Fund | Registered Scottish Charity No. SC007681 ] Date:01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20192018year Word Verification:SubmitReset
