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Event Entry Form
Event Name: Blind Driving 12/10/2023
Please complete the fields marked with an asterisk. Use only letters and numbers, no other characters are valid. Thank You.
Title*
First Name*
Surname*
Address1*
Address2
Address3
Post Code*
Email*
Re-enter Email*
Mobile Tel No
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Please enter number of tickets required
Registration Fee-£20.00
Total Amount Payable £
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first Name*
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* completion required
The "Pay Now" link will take you to the PayPal website where you can pay using your PayPal account or with a credit/debit card if you don't have a PayPal account.
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