May 19th - 22nd 2017 - APPF - Rallye Automobile et Patrimoine du

 23RD
I n t e r n at i o n a l F o u g è r e s R a l ly
May 19th - 22nd 2017
Application form to be returned
1. Participant
• Driver’s name :_______________________________________________________________________
• Adress : _____________________________________________________________________________
• Telephone n° :________________________________________________________________________
• E-mail : ______________________________________________________________________________
• Other occupants (with Christian name and surname, for badges, please) : ____________________
_______________________________________________________________________________________
2. Vehicle
• Make : _______________________________________________________________________________
• Type and year : ______________________________________________________________________
• Engine capacity and BHP :___________________________________________________________
• Maximum speed : _____________________________________________________________________
• FIVA I.D. card : yes (please attach copy)
no
• Known history, special features : ___________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
3. Choice of activities
Friday May 19th
• Buffet lunch, château de Gizeux (37340)
(see prepayment, §5)
• Visit du Bellay mushroom farm, near Allonnes
free
• Dinner, Domaine de Roiffé, route de Roiffé (86120)
(see prepayment, §5)
yes
yes
yes
no
no
no
Saturday May 20th
• Rendez-vous place du Chardonnet, Saumur (49400)
• Scenic tour along the Loire river
• Buffet lunch, château de Brézé (49260)
(see prepayment, §5)
• Visit of château de Montreuil-Bellay (49260)
free
• Dinner, Bouvet-Ladubay wine cellar, near Saumur
(see prepayment, §5)
Sunday May 21st
• Visit tank museum, Saumur (49400)
free
• Open lunch, Saumur
list of restaurants in folder
• Public presentation of cars, place de la République, Saumur free
• Dinner La Table des Fouées, near Saumur (see prepayment, §5)
Monday May 22th
• Visit of Abbaye Royale de Fontevraud (49590)
free
• Lunch, Abbaye de Fonteveraud
(see prepayment, §5)
yes
yes
yes
yes
yes
yes
yes
yes
no
no
no
no
no
no
no
no
4. Accomodation
To ensure that there are enough rooms, the APPF has pre-booked rooms for you at the hotel marked
with a cross. Please advise us if you want to change (or indicate your choice if there is no mark) :
Thursday May 18th (pre-rally) : please book your hotel directly, in or near Saumur.
For rally nights (below) : please do NOT book directly (risk of double booking).
The APPF will book for you and will advise you by email of your hotel firm reservation.
(should you take your car for dinner, the APPF can’t guarantee secured car park)
Nights of Friday May 19th to 21st
Hotel
1.
2.
3.
4.
5.
Kms to Saumur town
centre
Number of
rooms
3
20
20
12
30
20
48
40
Les Terrasses de Saumur***
Relais du Bellay, Montreuil-Bellay***
Domaine de Roiffé***
Hôtel de Londres
Campanile**
Please specify your hotel nights:
Friday May 19th
yes
Saturday May 20th
yes
Sunday May 21 yes
st
Choice
Price/night, B&B for two
(all hotels with car park)
119,00 - 145,00 €
92,00 €
96,00 €
FULLY BOOKED
89,00 €
-
no
no
no
• Type of room required  :
Single
Double
Twin Other (please specify)_______________
5. Pre-payment
Meals & Bus transfers
• buffet lunch, château de Gizeux, Friday May 19th ..................................
• dinner Domaine de Roiffé, Friday May 19th ...........................................
bus service to dinner (all hotels except Domaine de Roiffé)................
• buffet lunch, Saturday May 20th, château de Brézé.................................
• dinner Bouvay-Ladubet wine cellar, Saturday May 20th ...........................
bus service to dinner (all hotels).....................................................
• dinner La Table des Fouées, Saumur, Sunday May 21st............................
bus service to dinner (all hotels).....................................................
• lunch Abbaye Royale de Fontevraud.......................................................
£ 21 (or 24 €)
£ 27 (or 31 €)
£ 7 (or 8 €).
£ 21 (or 24 €)
£ 32 (or 37 €)
£ 7 (or 8 €)
£ 28 (or 32 €)
£ 7 (or 8 €)
£ 24 (or 28 €)
x
x
x
x
x
x
x
x
x
person(s)
person(s)
person(s)
person(s)
person(s)
person(s)
person(s)
person(s)
person(s)
=
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_________
_________
_________
_________
_________
_________
_________
_________
_________
Organiser fees
(no refundable)
....................................................................................One day only : £ 43 (or 50 €)
............................................................................. Two days or more : £ 130 (or 140 €)
Total, to be paid by cheque / bank transfer (to the order of APPF) and returned with application
=
6. Date and signature of participant
Date and signature of participant
Please return this form before April 25th 2017
par post or email, with :
prepayment cheque (if applicable), excluding hotel payment, to be
paid directly to hotel
photo of car (paper or electronic, 300 ko minimum)
copy of FIVA ID Card (if available)
to : Patrick Rollet, APPF, 242 rue de Morainviliers, 78630 Orgeval,
France [email protected]