WSCC Coast2Coast 2006 - Participant Registration

Name:
Boardroom ID:
Passenger name (leave blank if no passenger):
Driver Nameplate text:
Passenger Nameplate text (leave blank if not required) (additional cost of £5):
Nameplate Colour:	Black White Silver Gold Red Blue
Driver Shirt:	Small Medium Large Extra large
Passenger Shirt (additional cost of £10):	None Small Medium Large Extra large
Membership Number:
Address:
Address:
Address:
Address:
Post Code:
Telephone:
Telephone contact time:	Day Evening Either
Mobile:
E-Mail:
Preferred contact method:	E-mail Post Telephone Mobile
Attendance:	Both Saturday Sunday Unsure
Friday accomodation:	None - £0.00 Single - £35.00 Double - £49.50 Twin - £49.50
Number of Friday Meals required (additional cost of £10.95 per person):
Saturday accomodation (includes dinner):	None - £0.00 Single - £110.00 Double - £129.00 Twin - £129.00
Vehicle make:
Model:
Colour:
Engine:
Registration:

If you wish to contact us regarding your registration (including amendments) or have a question about the event then please e-mail us at coast2coast@westfield-driver.co.uk