Weekender 2010
ENTRY FORM
Mr/Mrs/Ms.................................................................................
Address...................................................................................,,
.......................................................post code..........
Contact details Ph.............................................................. Mobile....................................
Number of people intending to do the Sunday Barossa Tour ...............
Please order the following for the Saturday night dinner;
Main Course
Roast Rump with Seasonal Vegetables & Gravy .................
Oven Baked Fish with Seasonal Vegetable s .................
Chicken Breast Pocketed with Spinach, Camembert
& Sun-Dried Tomatoes with Seasonal Vegetables .................
Sweets
Hot Apple Crumble with Custard........,,,...... .................
Pavlova topped with Fresh Fruit & Cream .................
Please attach any special dietary requests.
I would prefer; A Double room ...... A Twin room ...... Please tick.
Method of Payment to the MG Car Club of SA Inc.
$300.00 per couple & $230.00 per single for Saturday night stay only.
$390.00 per couple & $320.00 per single to stay on Saturday & Sunday night.
Cheque........ / Money Order...... / Visa...... / MasterCard...... please tick.
Authorised amount $ .......................
Card holders name.................................................................
Card Number............/............/............/............/ Expiry date......../............
Card Holders Signature................................................................................
Please send payment with this form along with a stamped
addressed envelope for return confirmation to;
Laurie & Lyn Foody, 291 Seaview Road. Henley Beach SA 5022
Closing Date Saturday 24th April 2010 |