Please return your completed Application Form (together with a cheque to cover your deposit) to

Mrs Joan Engler, 75 Highfield Road, Beverley, East Yorkshire, HU17 9QS

Please indicate any special requirements

Deposit:  £40.00 per person (£30.00 for day visitors) is required to confirm bookings

Please indicate your requirements from the options below:

Accommodation:  All rooms are single en-suite situated in James College with tea/coffee making facilities

@ £130.00

@ £  10.00

NOTE

Overall table size, excluding ringers,

feet x feet

Plan 4

Plan 3

Multiple Tables

Plan 1

Plan 2

Single Table

Please Note the following:

@ £  17.00

Option 1: 2 x Dinner, room breakfast, Friday & Saturday

Please Note: Options 1, 2, 3, 4 and 5 include concert ticket and am / pm refreshments

@ £190.00

£    

Will your team take part in massed ringing?

@ £175.00

Polo shirts will be available, further information following registration.

@ £  12.00

Telephone number

Total number in your team / group likely to attend

Will your team take part in rally ringing?

Tables at the University are limited but, if you require tables to be provided there will be an additional cost of £12.00 per 6ft x 2ft table (foam/cloth will not be provided)

@ £130.00

Reminder:  You must be a member of HRGB to ring at a National Rally.

Team Name

HRGB No

email

Name

Address

Post Code

Measurement A

Measurement B

Table Plan

If your team has a printed table plan showing the above sizes, please send a copy with your completed Application Form.

@ £  60.00

Option 2: as Option 1 but no dinner Friday evening

Option 3: 1 x Dinner, room, breakfast Saturday

Option 4: Day visitor Saturday with tea or coffee am & pm

Option 5: as Option 1 but not participating in any ring activities

Option 6: Concert ticket only

Option 7: Saturday evening dinner

Total

Additional cost for hired tables (see note below - Table requirements)

Less Deposit

Balance (to be paid by 31 January 2012)

Dietary requirements

Other requirements

Please indicate your table plan/requirements

Please indicate how many tables you will require

I confirm my details are correct

I confirm I have read the 'Guidance on the use of photography and Video Images'

Trade Stands:  Please send further information on exhibiting