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Mid Summer Madness at White Roding Sports & Social Club, Marks Hall Lane, White Roding, Essex CM on 03-07-2026 to 06-07-2026

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Surname: *
Forenames: *
Address: *
Postcode:
Tel No.:
Mobile No.:
Email Address: *
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Centre No. If you are not a South Essex Member please enter your Centre name: *
CAMC Membership No.: * Expiry Date: *
Time of Arrival: * (No arrivals before 1:00pm)
Arrival (day): * Rally Starts on a Friday
No. of Nights: *
Departure (day): * Rally Ends on a Monday
Vehicle Reg No.: *
Type of Van (C) Caravan or (M) Motorhome: *
No. of Adults: *
No. of Teenagers:
No of Children and Ages:
No. for Social:
No. for Food:
Special Dietary Requirement? (y/n)
Is this your first South Essex Rally? (y/n) *
Do you require a plaque? (y/n) *
Disabled? (y/n)
Birthday? (y/n)
Anniversary? (y/n)
Comments for the Marshals
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