Gloucestershire District Association R.I.A.T. Meet 15th to 19th July 2010
Down Ampney Site Booking Form

Name and address

Membership number/s

Phone number

Mobile number

E-mail address

Unit type:      Caravan Motorhome       Trailer Tent/Tent

YOUR OWN SANITATION IS ESSENTIAL

Fees:-   £7.50 Per unit night. This covers 2 adults and any children under 12 years of age.  Extra adults £3.50 per night. ( Please include membership no.),
12-17 years of age £1.00 per night

Unit Nights @ £7.50	No.	£
Extra Adult Nights@ £3.50 per night	No.	£
12 - 17 years @ £1.00 per night	No.	£
Plaque, if required @ £1.20	No.	£
Total Payable		£

Date of arrival

Date of Departure

Please send completed booking form to:-
Mrs Jackie Cole, 14 Blacksmith Lane, Churchdown, Glos GL3 2EU
Contact Tel. No. 01452 855491
Please include a stamped addressed envelope if a confirmation receipt is required.
Cheques should be made payable to:-
Camping and Caravanning Club - Glos DA

PLEASE NOTE :- The site will open 12 noon on Thursday 15th July 2010
and will close at 12 noon on Monday 19th July 2010

My family, guests and I hereby agree to comply with Camping and Caravanning Club rules and we shall
not hold Gloucestershire DA or its officers responsible in the event of any illness, theft or act of God.

Signature ……………………………………………………. Date ……………………………….