Register

Ride Information
Name of ride*
Company Name (if applicable)
Please enter your full name.
Are you registering as a single individual or as a team (2 to 4 persons)?*
Rider 1 Personal Details
Name*
First Last
Address
Telephone Number
Mobile Number
Email
Enter Email Confirm Email
Rider 2 Personal Details
Name*
First Last
Address
Telephone Number
Mobile Number
Email
Enter Email Confirm Email
Rider 3 Personal Details
Name
First Last
Address
Telephone Number
Mobile Number
Email
Rider 4 Personal Details
Name
First Last
Address
Telephone Number
Mobile Number
Email
Terms & Conditions*
- I/we confirm that I/we have read and accept the terms and descriptions (below)
Registration (please tick)
- Registration donation made online via JustGiving
- Registration donation made by bank transfer

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