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 June 2013

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

    Entry costs:

    Please note there is no 'on the day' entry for Bronze and Copper Routes. However the cost for 'on the day' entry to Gold and Silver will be £10.00 (Full) £7.50 (Reduced) and £22.00 (Family 2A+2C). The cost of for 'on the day' entry to Zinc Route will be £6.50 (Full) £4.00 (Reduced) and £14.00

    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