APPLCATION FOR BIRDS ON BIKES 2007 CHARITY RIDE
Please fill in the form below to book.
Name:
Male / Female:
Female
Male
Date of Birth:
Address:
Full Postal Address
Postcode:
Fax:
Contact Number:
Make & Model of Bike:
Years Riding:
Are you on L Plates at the moment / will be during the ride?
No
Yes
Will you be taking part in? (Please tick the ones that apply)
Day One of the Ride:
Day Three of the Ride:
Day Two of the Ride:
Year I'm Up For All Three:
DISCLAIMER
Important, Please Read.
All persons on the ride are personally responsible for ensuring that the bikes they are riding are roadworthy, and all necessary legal documents such as Tax, Insurance, MoT & Driving Licence are in order. Birds on Bikes is not responsible for any loss or injury whilst on the ride. Please ensure you are a competent and confident rider and your riding abilities are commensurate with the sections of the ride you plan to participate in. As at any other time whilst riding your bike on the public highway, you alone are responsible for your own safety.
I AGREE:
Email:
When you click on
Submit Form
, your details are forwarded to Kim Robinson, the next page to open will enable you to pay the Registration Fee via PayPal.
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