MG CAR CLUB D Italia - Registro Italiano MG

MG CAR CLUB d’Italia - Registro Italiano MG XI MG BY THE SEA - Gabicce Mare 23rd – 30th May - 2016

ENTRY FORM Please write in block letters or electronically. Registration opens on 11th January. (after payment we will confirm your entry has been accepted or that you have been put on the waiting list)

______Surname First Name Passenger’s Surname First Name

______Address: Street No. Town Area code Country

______Telephone Fax Mobile E-mail

Member of MGCC (country): ______

______Vehicle: Model Cubics Year No. Plate

Registration Fee: € 220 per car. TO BE PAID CASH ON ARRIVAL. Above fee includes registration, all tours and activities as per programme, and prizes.

I wish to participate in the above meeting and am interested in a hotel as specified below:

Hotel Accommodation Fee

***Hotel (town centre – 100/150m from the sea) No. of Participants Total € 630 p/person in Double Room x = € € 660 p/person in Single Room x = €______TOTAL = € ***Hotel (residential area) No. of Participants Total € 690 p/person in Double Room x = € € 720 p/person in Single Room x = €______TOTAL = € ****Hotel No. of Participants Total € 840 p/person in Double Room x = € € 890 p/person in Single Room x = €______

1/ Hotel Miramare is <3***High> and costs more than <4****>.

No. of Participants Total € 900 p/person in Double Room x = € € 950 p/person in Single Room x = €______TOTAL = €

Above prices include Bed, Breakfast, most lunches as per programme, and Dinners for 7 days.

GRAND TOTAL = €______

Signature for acceptance:______

Please send both a)above Entry Form duly filled in and signed and b)Bank Money Order Receipt for acceptance to: MG BY THE SEA c/o Gruppo Albergatori Multiservizi, Viale della Vittoria – Palazzo del Turismo, 61011 Gabicce Mare (PU), Italy. E-mail: [email protected], tel.+39.0541.953600, fax +39.0541.953138 - 3 -