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Vespa World Days 2012 Entry Form | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27 | Unnamed: 28 | Unnamed: 29 | Unnamed: 30 | Unnamed: 31 | Unnamed: 32 | Unnamed: 33
Club Name |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Contact Phone
Contact Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Postcode
ID | [NAME] |  | Forename |  |  |  | Surname |  |  |  | Year of Birth |  |  | Gender |  | T-Shirt size |  |  |  | Reg No |  |  | Type of Vehicle |  |  |  | Email address
1 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
2 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
3 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
4 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
5 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
6 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
7 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
8 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
9 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
10 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
11 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
12 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
13 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
14 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
15 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
16 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
17 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
18 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
19 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
20 |  |  |  |  |  |  |  |  |  |  |  |  |  | M / F |  | XS / S / M / L / XL / XXL |  |  |  |  |  |  | 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8
Payment instructions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Type of Vehicle
Entry is £65 per person and can be made by: Electronic transfer to sort code 20-19-95 Account number 23122824 Cheque(s) payable to Vespa World Days Ltd |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME] < 1962 |  |  |  |  |  | [NAME] 1978 - 2003 |  |  |  |  |  | Piaggio |  |  |  | Ape
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME] 1963 - 1977 |  |  |  |  |  | [NAME] |  |  |  |  |  | Gileria |  |  |  | Other
Once completed please hand or send this form, with payment, to Vespa World Days, 19 Carriage Drive, Chelmsford, Essex, CM1 6UY or email it to [EMAIL] once you have made your payment by electronic transfer