9th Annual Dinner Dance 

Ticket Application Form

Saturday 5th December 2009  7-30pm until late.

At Sedgebrook Hall, Chapel Brampton

Off A5199 North of Northampton

Please provide .........adult places  and .........children 5 -12

.........under 5 places

Tickets Cost £32 for Adults,  £16 for Children 5 - 12,  Under 5 free

See Race Programme for number of trophies for each class + Driver of the Year

 Club Person of the Year and Most Improved driver Trophies

Name ..........................................................................................................

Address......................................................................................................

......................................................................................................................

Day Telephone Number.................................

Please could we sit with .............................................

Rooms available B & B at the VERY special rate of £39 double or single.

Book your room direct with the Sedgebrook Hall.

01604 821666 and mention Whilton Mill Kart Club

Cheque Enclosed for £.......................

Guarantee Card Number............................................................ 

Post to - Rita Chapman,  23 Foxglove Close, Castle Meadow, Buckingham 

MK18 1FU - Tel 01280 816512