Entry Form | Budleigh Salterton C

Budleigh Salterton Carnival
Entry Form

First name

Last name

Name of Club

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Entry Class

Entry Title

Do you have music?

Yes

Float Registration Number

Only required for float entries not walking entries.

Name of Float Operator

Only required for float entries not walking entries.

Address of Float Operator

Only required for float entries not walking entries.

Insurance Company Name

Insurance Valid from

Insurance Expiry Date

Insurance Certificate Number

VSO Number

Only required for float entries not walking entries.

Please provide the following in order for us to payout your prize money.

Name of Bank

Name on the account

Account Number

Sort Code

Cheques Payable to:

Signature

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Date

Day

Month

Year