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Sport Systems Ltd. are managing the Online entries for this event.

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Sunday 25th April 2010


Family Entry for 2 Adults & up to 3 Children (TonyFam)

Family Entry for 2 Adults & up to 3 Children

Gift Aid
If you are a UK tax payer, please tick the gift aid box so we can claim an extra 28p from HM Revenue and Customs for every pound that you donate, at no extra cost to you. Please remember that you must pay an amount of Income Tax or Capital Gains Tax equal to the tax we reclaim on your donations.

Please fill in the details of each entrant you wish to add to your order. You will then need to complete your credit or debit card details to finalise the transaction. The card holder does not need to be one of the entrants.

You can log back in to see the status of your order. Select "Your Account" to do this. If your order status remains as Pending it means that the card transaction has not been completed, your card has not been debited and we are awaiting payment. You will need to select Re-Submit Payment to make the payment and be entered in the race.

Declaration: I accept that taking part in this event is by its nature hazardous and contains certain inherent risks. I agree that I participate entirely at my own risk and accept that the event organisers and their associates are not liable for any loss, damage, claim, expense, injury or accidents which may arise as a consequence of my negligence at this event. I will cycle with care and attention, abiding by the rules of the event and remain responsible for my own property. I agree to abide by the Highway Code, the Country Code and the Event Rules as displayed at the venue. I am in good health and sufficiently fit to safely complete my chosen route. If signing this declaration on behalf of a family or group of riders I confirm they understand the Event Rules and agree with this declaration.

For further information or if you continue to experience difficulties please visit www.sportsystems.net/TroubleShooting or select the TroubleShooting menu option from the store.

*If Yes Southwell Care Project (SCP) will send out a sponsorship form



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Entry Details

Price: �27.00

Free shipping for this item!

First Name :

Last Name :

Gender :

Date of Birth [dd/mm/yyyy] :

I wish to enter the :

Address 1 :

Address 2 (Optional) :

Town / City :

Postcode :

Country (if not UK) (Optional) :

Email Address :

Home Telephone (Optional) :

Mobile Telephone (Optional) :

-- Adult 2 - First Name (Optional) :

-- Adult 2 - Last Name (Optional) :

-- Adult 2 - Date of Birth [dd/mm/yyyy] (Optional) :

-- Adults 2 is entering the (Optional) :

Child 1 - First Name (Optional) :

Child 1 - Last Name (Optional) :

Child 1 - Date of Birth [dd/mm/yyyy] (Optional) :

Child 1 is entering the (Optional) :

-- Child 2 - First Name (Optional) :

-- Child 2 - Last Name (Optional) :

-- Child 2 - Date of Birth [dd/mm/yyyy] (Optional) :

-- Child 2 is entering the (Optional) :

Child 3 - First Name (Optional) :

Child 3 - Last Name (Optional) :

Child 3 - Date of Birth [dd/mm/yyyy] (Optional) :

Child 3 is entering the (Optional) :

I would like to raise money for SCP* (Optional) :

Please make a donation (Optional) :

GiftAid. The Inland Revenue will
give 28p (Optional) :


I agree to abide by the Event Rules & Declaration :


 
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