Entry Form Cowley Classic Car Show - Sunday August 12th 2018

tel: 01865 862776 e-mail: malcolmfearn@mac.com
address: 11 Halls Close, Oxford, OX2 9HR
Rotary Club of Oxford Isis Trust Fund
Registered Charity Number 1038992
Organiser: Mrs Alicia Goodey
THE COWLEY CLASSIC CAR SHOW
12th AUGUST 2018 (11am to 5pm)
Name (capitals) ..................................................................
Address ..................................................................
..................................................................
..................................................................
E-mail (print clearly) ..................................................................
Telephone no ..................................................................
Make & model of car ..................................................................
Registration Mark ........................ Year Built ..............................
Club membership (if any) ..............................................................
Please provide further relevant information about your car
..........................................................................................................
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I confirm that I have current insurance for the above car and driver. I understand that the Rotary
Club of Oxford Isis Trust Fund has no liability for damage or injury arising from this event
howsoever caused unless negligence is proved.
Signed .............................................
Personal information that you provide to us will only be used for the purposes of this event and to notify you of future
motor car events organised by the Rotary Club of Oxford Isis Trust Fund. It will not be disclosed to a third part except
where authorised by you or as otherwise permitted by the Data Protection Act.