Steam & Vintage Weekend Entry Form

Steam and Vintage Weekend
with Tilmow 08
28th and 29th September 2008
Entry Form

Organised by Central Southern Vintage Agricultural Club

Please photocopy entry form if required.
NAME: …………………………………………………………………………………………………………………

ADDRESS: …………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………

Post Code …………………………… Tel. No. ………………………………......

SECTION: ………………………………………………………………………………

Make of Entry: ………………………………… Reg. No: …………………………………………

Model: ………………………………………………………… Year: ………………………………………………..

Make of Implement: ……………………………… Model: ……………………………………………..

Make of implement: ……………………………… Model: ……………………………………………..

Special Request or Requirements: …………………………………………

…………………………………………………………………………………………………………………………………

Camping Required? YES /NO

Caravan Camper Tent (please circle)



I declare that during the whole period of the above stated weekend my entry will be covered by a public liability policy including rally use. I confirm that the driver/s of any vehicles entered hold and is not disqualified from a holding a license to drive a vehicle with the appropriate class. Steam engine, exhibits with pressure boilers or vessels will only be admitted if owners can show proof of insurance and annual boiler inspection and/or NTET boiler inspection disc.

Signed …………………………………………………………… Owner Date …………………………

Please return with a SAE (This is for the passes) to

CSVAC Secretary, Mr Cedric Gardner,
37 Kingsway, Blackwater, Camberley, Surrey. GU17 0JW.
Tel. 01276 32822.