First Name of all campers

Surname of all campers

Western name of all campers

Address

Telephone Number

Caravan/Motor Home/Tent

£18 each member for whole weekend

£25 each for non member for whole weekend

Return form to Alan & Sue Jones 257 Quinton Road, Harborne, Birmingham B17 ORB

or Telephone 0121 628 0982

Total

Paid                                     Cash                   Cheque

Ticket Number

Cheque made payable to Redditch Westerners Association