Booking Form for Derbyshire DA's - 2017/18 New Year Event at Donington Park Farmhouse Hotel
This form is to be used for electronically booking your place at Derbyshire DA's New Year Event at Donington Park between the 28th December 2017 and 1st January 2018.

You do not need to complete this form if you have already filled in and posted the print version of this form. This form is for those that wish to book online and send payment via Bank Transfer.

The fancy dress theme for the evening should you wish to participate is "Children's Toys"

Email address
What is your Lead Booking Name?
e.g Andrew Smith
Your answer
What is your Camping and Caravanning Club Membership Number?
Your answer
What DA/Section do you belong to?
This is marked on your membership card (eg. Derbyshire DA)
Your answer
What is your address including postcode?
Your answer
What is your telephone number?
Your answer
The £45 per 3 night fee covers 2 adults, how many additional adults (over 18) will you have in your unit?
Additional adults are charged at £10 per adult per stay
Your answer
What are the names of the additional adults and what are their membership numbers?
e.g. Ann Other 987654, if there are no additional adults write N/A
Your answer
Whats type of unit do you have?
What is your Vehicle Registration number?
Your answer
Click which 3 nights you wish to book?
You must include the 31st. An additional night is charged at £15 per night and payable to the stewards upon arrival.
I want
I DONT want
28th
29th
30th
31st
What is the total number of adults in your unit?
Your answer
What is the total number of children in your unit?
Your answer
Confirmation
Required
Payment Information
Please can you bank transfer the total cost of your booking to the following account:
Account Name: CCCDDA
Sort Code: 30-96-18
Account Number: 00851246

You will need to add a reference to your transfer, so that we can trace your booking to the amount paid into our account. Please can you start your reference with "NY" followed by your Lead Booking Name membership number.
Eg. NY123456

What is your booking reference (NY.....)?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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