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Print This Form, And Post with your order
please include a Postage Paid
-Self Addresed Envelope
FAO Susie
Quay Vipers MCC
C/o 66 Irish Quarter West
Carrickfergus
County Antrim
Northern Ireland
BT38 8AT

PRE BOOKED RALLY TICKET ORDER FORM
Ordered By ____________________________________________________________________
MCC / Club Name ______________________________________________________________
Email ________________________________________
Website______________________________________
Address ( Please include a Postage Paid Self Addressed Envelope)

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

POSTCODE_________________________________
 
No of Tickets @ £15 _____ Total £______
No of Badges @ £2 _____ Total £_____
Grand Total £ _______
Please ensure you have enclosed your cheque made payable to
Quayvipers MCC
And that all other details are correct
Prebooked tickets can NOT be paid for by post later
  than 12th September 2009
How did you hear of Snakebite Rally ?  
Advert Back Street Heros_____
Other __________________________
Website Quayvipersmcc.com _____
Other __________________________
Flyer at rally ______If so what rally_____________________________________



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