SVR Wolverhampton - Booking Form

Wolverhampton Branch
Severn Valley Railway
Supporting the SVR since 1967

Booking Form

Midland Rly & Rudyard Lake trip 22/5/2005

Please reserve me:

_ _ _ _ Adult place(s) @ £16.50 _________ = _ _ _ _ _

_ _ _ _ Senior Citizen place(s) @ £13.50 _________ = _ _ _ _ _

_ _ _ _ Child place(s) @ £7.00 _________ = _ _ _ _ _

Total Amount Enclosed:- = _ _ _ _ _

PLEASE PRINT YOUR DETAILS BELOW

Name: Phone N^o:

Address:

Preferred pick-up point:

Cheques to be made payable to: S.V.R.A. Wolverhampton Branch. Please send payment and this completed form with an S.A.E. to the organiser: Mr R.Kyte, 72 Wynn Road, Penn, Wolverhampton, WV4 4AN.

Telephone 01902 340705 if you have any queries.

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Created by: Dave Rowley, March 15^th 2005

Booking Form

Midland Rly & Rudyard Lake trip 22/5/2005

Please reserve me:
_ _ _ _	Adult place(s)	@ £16.50	_________	= _ _ _ _ _
_ _ _ _	Senior Citizen place(s)	@ £13.50	_________	= _ _ _ _ _
_ _ _ _	Child place(s)	@ £7.00	_________	= _ _ _ _ _
Total Amount Enclosed:-				= _ _ _ _ _

PLEASE PRINT YOUR DETAILS BELOW

Name:		Phone N^o:
Address:
Preferred pick-up point: