Vehicle and Ticket Application Form. 
The closing date for vehicle entries is 16th June 2006.

1. Pre-purchased Pass Holders have 'fast lane' entry on the day.

2. No dogs or other livestock will be admitted: Offenders will be escorted outside the Track.

3. Members of Guest Clubs should state the name of their club in place of 'Society Membership Number'.

4. Pre-purchased passes entitle the holder to park on the museum site up to the site capacity.

5. Passes are not required for children under 5.

6. Tickets bought at the gate are £7.00 each - Senior Citizens £5.50.

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All applicants please complete this top section:
Name:
Address Line 1:	Address Line 2:
Address Line 3:	Address Line 4:
Postcode:	Country:
Home Telephone No:	Fax:
Email:
Brooklands Society Membership Number:	Guest Club Members Please give the name of your club:
Pre 1940 Vehicle Entry Section.
Being a fully paid up member of the above club I wish to enter the following vehicle for the 37th Annual Brooklands Society Reunion:
Entrant/Driver's Name:	Second Driver's Name:
Vehicle Details:
Make:	Year of chassis:
Model:	Chassis No:
Body Type:	Stripped
	- yes - - no -
Make of Engine:	Year of Engine:
Engine Capacity	Number of Cylinders
Supercharged:
- yes - - no -
Please supply a brief history of your car or motorcycle:
All vehicles must be roadworthy, fitted with an effective silencer and will be scrutineered at the discretion of the organisers. Motorcyclists must wear crash helmets at all times while riding. Entries are accepted at the organisers' discretion. Veteran and other vehicles with low power and primitive brakes are not accepted for Test Hill ascents.
DECLARATION In entering this vehicle and submitting this form I agree to be bound by the Regulations for this Event and the General Regulations of the MSA/ACU.

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Ticketing Details Section - Please select as required:
Price for car entrants includes entry to the site plus three Test Hill ascents and Banking Parade.
Society Member's car @ £10.00 for three Test Hill ascents using membership card for entry:	PAY ON THE DAY
Guests @ £6.50 per person:	- 0 - - 1 - - 2 - - 3 - - 4 - - 5 -
Entrance to President's Reception at £12.00 per person - includes wine, soft drinks and sandwiches:	- 0 - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -
Senior Citizen entrance tickets at £5.50 each:	- 0 - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -
Children aged 5/16 entrance tickets @ £4.00 each:	- 0 - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -
Total Amount to bill to Card - £ Sterling:
Please bill by Mastercard/Visa/Amex No:
Expiry Date:
Name on Card:
If you wish to print and fax this form to us on 01252 408878 please sign and date below:

This Event has been arranged with the co-operation of the Brooklands Museum Trust and the Motor Sports Association. The responsibilty for providing on site facilities rests with the Brooklands Museum Trust.

For directions to Brooklands: click here.

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