Entry Form

Please complete and submit the form with details of each entrant. After submission you will be automatically directed to PayPal for payment.

Your name*
First Last
Riders*
Name Age

Please include details for all riders (including you if you are riding). Use the "+" button at the end to add each additional rider on a new line
Billing address*
Street Address Address Line 2 Town Region / County Postcode Country
Phone
Email*
Mailing list
- Add me to your mailing list for event updates
Total fee*
Price: £ 12.00
Name
This field is for validation purposes and should be left unchanged.

Name	Age