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LAND ROVER HERITAGE RUN


Please print and return this form, with your payment, to: -

Nick Chinery, Heritage Run,
11 Main Street, Broughton Astley, Leicester, LE9 6RE

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For enquiries regarding bookings, Tel: 01455 285 304 email: [email protected]

For general enquiries about the event, Tel: 01926 645 120
email: [email protected]

You and Your Contact Details
Date:
Title (Mr, Mrs, Miss, Dr etc):
First Name(s):
Surname:
Address:
City / Town:
County:
Postcode:
Telephone Number:
Mobile Number:
email Address:
Club:
Membership No:

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HERITAGE RUN - SOLIHULL TO GAYDON.
Includes admission to event and museum on 2 May and 3 May for driver plus one passenger.
If selected, the information gathered below will be used for commentary information.

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Land Rover Model & Description:
Year of Manufacture:
Reg.No:
Chassis No:
Special Features / Equipment:
Engine Capacity:
Colour:
Do you compete in any competitions/events? :

If Yes, please give details:
Has your Land Rover had any interesting past owners or do you have an interesting tales to tell?:

If Yes, please give details:
If you require entry for extra passengers/camping /extra days passes please use the advanced entry forms and camping forms

HERITAGE RUN TOTAL FEE
@ � 15.00 per entry

 I enclose a cheque for:
All cheques / postal orders to be made payable to BMIHT
Please tick box if willing to help marshal vehicles as they arrive at Lode Lane
Please tick box if you require a reserved space in the Show on the Monday .

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