ENTRY
    FORM

     

    Entry Form For

    Please fill out this form on screen and then print out this page. Please print one form for each entrant and send it / them by post to: SOCRW 2013 bookings, 122 Stow Hill, Newport, Gwent NP20 4GA.

    The closing date for pre-entries is 30th April 2013

    This information will be held on a computer system, but only for the purposes of Reservoir Action Group Administration.

    Entry costs:

    Please make cheques payable to SOCRW.

    Name:

    		  Age:

    Address:

    		     
     

    		     
     

    		     
     

    		 

    Post code:

             

    Phone:

    		     

    Email address:

    		     

    How did you hear about the Save Our Cardiff Reservoirs Walk?

      

    Please register me for the Save Our Cardiff Reservoirs Walk (SOCRW)

    I enclose a cheque payable to "SOCRW" for :      

    £

    Please enclose a Stamped Self-Addressed Envelope.



    Copyright Save Our Cardiff Reservoirs Walk 2013