


ENTRY FORM
Please take as many copies as you wish
Autumn Gold Run
Return to 35, Market St, Tamworth, Staffs, B79 7LR
Tel 01827 69771
£25 per car to include plaque, rosette, souvenir digital photos.
CAR
Make................................................Model...................................................Year..........................
Registration number (for photo id only).................................................................
T shirt size..................................................................
No t shirts for Autumn Gold Run
I do/do not wish (please indicate) to be part of the Heartbeat Mini & Classic Show on Saturday 12 June
NAME........................................................................................................................................
ADDRESS..................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
..................................................................Postcode..................................................................
Telephone number..............................................................................................
Email address............................................................................................................................................................................
Please make cheques payable to R.J. Clark
and return to Mini Events,
35, Market St,
Tamworth,
B79 7LR
or email back to protectme@fair-parking.co.uk
10% discount for those entering this and the Heartbeat Mini & Classic Run.
Sorry no credit or debit card facilities