MSA British Rallycross “Night of Champions” Awards Night

Saturday3 February 2018

at the

Doubletree by Hilton Coventry Hotel

Welcome Drinks start at6.00pm

Before 9 December 2017 tickets are £42.00 per adult and £22.00 per child

From the 10 December tickets will be £52.00 per adult and £27.00 per child

Tables seat 10/11 People

Dinner, Awards, Raffle and Entertainment

Dress Code

Gents “Black Tie or Lounge Suits” and Ladies “Dress to impress”

We need to inform the Hotel of the exact numbers and any special meal requirements.

Please complete the attached form stating names and menu choice

All information needs to be returned to Tania Wilson by

Saturday 23rd December 2017

Menu 1

Caesar Salad (CS) or Prawn Cocktail (PC)

Chargrilled Breast of Chicken

With Garlic Cream Sauce or Plain

Served with Potatoes and a selection of Vegetables

Vanilla Cheesecake

With Mango Coulis

Coffee with after Dinner Mints

Menu 2

Caesar Salad (CS) or Prawn Cocktail (PC)

Seared Beef Medallions

With a Peppercorn Sauce or Plain

Served with Potatoes and selection of Vegetables

Vanilla Cheesecake

With Mango Coulis

Coffee with after Dinner Mints

Menu 3 (Vegetarian Main)

Four Cheese Ravioli

With a green pesto sauce and crisp side salad

One the form below please list Menu 1, 2 or 3 and Starter choice (CS) Caesar Salad or (PC) Prawn Cocktail against each of your party names as they require.For example Menu 1 & CS

The Menus are not interchangeable with each other.

If there are any children (12yrs and under) please list them separately with a (C) next to the number i.e. 1 (C)

Please return this form with payment to:

Tania Wilson

28 Shearford Close

Pilton

Barnstaple

Devon

EX31 1AG

Any questions call Tania on 07828 874311

Please list the Names of the people in your party so these can be allocated on the table plan.

Names:State Menu Choice 1, 2 or 3 (C = Child)

(CS) or (PC) for Starters

  1. ______
  2. ______
  3. ______
  4. ______
  5. ______
  6. ______
  7. ______
  8. ______
  9. ______
  10. ______

Please reserve ____ Adult tickets and _____ Child tickets for my party for the names listed above at £42.00 per Adult and £22.00 per child

Form and payment information received by 9 December 2017 for the above ticket prices

Forms received from the 10 December - please reserve _____ £52.00 per Adult and ______£27.00 per childbookable until 23 December 2017.

Please enclose a cheque made payable to “LHMC” for the Full amount

These will not be banked until Friday5January 2018.

Or you can complete the details below for payment to be taken from your Debit/Credit Card.

Payments by Debit/Credit Card will not be taken until Monday 8 January 2018

Card Number:Amount - £

Expiry Date:

Name on Card:

Security Number: (Last 3 Digits on back of card)

House Number or Name ______

Post Code ______

(The above is needed for card security)

(Card payment will incur a 3% fee due to way payment is taken. To avoid this please pay by cheque)

If you want to book any rooms at the Hotel Hilton Coventry please contact them directly on 02476 603 000 quoting the following reference “ABRCA” they do have a rate for the “Rallycross Dinner Dance” however sometimes the rate is lower online.

The rates for “Rallycross Dinner Dance” are listed below

Standard Room on B&B in a Single is £64.00

Standard Room on B&B in a Twin/Double is £74.00

Family Rooms on B&B available directly with hotel

Executive Rooms at £20.00 supplement per room

Suite at £50.00 supplement per room

These rates are on a first come first served basis so would advise that your reservation is made as soon as possible as once gone there normal rate will apply.