2009 KELLY CLAN GATHERING

BOOKING FORM

Please reserve ____________ places at the Kelly Clan Gathering for the weekend of 15th, 16th, 17th May 2009 at 120.00 Euro per person.

Name _____________________________________________________
Address _____________________________________________________
Telephone _____________________________________________________
Mobile number _____________________________________________________
Email address: _____________________________________________________
Card Type (Visa/Mastercard etc): _____________________________________________________
Name on Card: _____________________________________________________
Card Number: _____________________________________________________
Card Expiry month/year: _____________________________________________________

Post to Bernie Kelly, ‘Aisling’, Tyrone, Kilcolgan, Co Galway.Or alternatively e-mail kellyshellfish@eircom.net with your credit card details.