
Northern Region Question Time and Rally
10th to 15th April 2012 at Kirkley Hall Campus, Ponteland, Newcastle
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC Membership No . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Vehicle Reg No . . . . . . . . . . . . . . . . . . . . . . . .
Home Tel no . . . . . . . . . . . . . . . . . . . . . . . . . . . Outfit Length . . . . . . . . . . . . . . . . . . . . . . . . .
Mobile Tel No . . . . . . . . . . . . . . . . . . . . . . . . . . Caravan/Motorhome. . . . . . . . . . . . . . . . . . . .
No. in party Adults . . . . . Teens . . . . . 9 to 12 . . . . . 5 to 8 . . . . . Under 5 . . . . .
Please indicate which days you will be attending the rally:-
Tues . . . . Wed . . . . Thurs . . . . Fri . . . . Sat . . . . .
When booking, a non-returnable booking fee of £5, must be included with the booking slip.
Rally Fee £18.00 for 2 nights plus £9.00 for each additional night. Cheques to be made payable to The Caravan Club Northumberland Centre
Social tickets £2 including supper Adults . . . . . . . Juniors . . . . . . . . . . . .
See the Rally Handbook or email the Centre website for details of where to send this form.