Ripon Races - Days Out Leaflets
Ripon Races - Days Out Leaflets
Ripon Races - Days Out Leaflets
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Annual Badge Holder - Booking Form<br />
PLEASE COMPLETE IN BLOCK CAPITALS<br />
Name:<br />
Address:<br />
Post Code:<br />
Telephone Number:<br />
Email:<br />
If buying as gift name of person purchasing for:<br />
Type of Annual Badge:<br />
q Single Ladies q Single Gents £160.00<br />
Joint (must be living at the same address)<br />
q 1 Ladies & 1 Gents £240.00<br />
2 Ladies £240.00<br />
q<br />
q 2 Gents £240.00<br />
Junior. Please provide date of birth<br />
q Junior Girls q Junior Boys £100.00<br />
Guest Badge q £5.00<br />
Would you like to add a Ticket Wallet for an extra £1<br />
YES q NO q<br />
Cheque or money order enclosed £<br />
(Please make cheques payable to: <strong>Ripon</strong> Race Club)<br />
Alternatively to pay by debit/credit card enter your card details below:<br />
Card number:<br />
Last three digits on the Signature Strip<br />
Type of debit / credit card<br />
Start date<br />
Expiry date<br />
Issue no (switch only)<br />
PAY BY DIRECT DEBIT TO RECEIVE A 5% DISCOUNT –<br />
CALL THE OFFICE TO GET A DIRECT DEBIT FORM<br />
INTRODUCE A FRIEND AND RECEIVE A FREE GUEST BADGE<br />
Name of friend:<br />
Address:<br />
14<br />
!