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To sign up for the Rotary Bike Ride please fill in the form below. The entry fee is £15.00. This can be paid by cheques/postal orders - payable to The Rotary Club of Basildon and sent to 23 Barbrook Way, Bicknacre, Essex CM3 4HP OR by credit/debit card online (see below). Entries on the day will be charged at £20.00.
FORM:
Name:
Mr
Mrs
Miss
Ms
Dr
Sir
Email:
Telephone:
Address:
Town:
Postcode:
Ride:
Mountain Bike Ride (40mile)
Fun Ride (5km)
I understand that this event is not a race and all riders must obey The Highway Code. Cycling can be a dangerous sport and I accept that the organisers cannot be held responsible for personal injury, accident, loss, damage or public liability no matter how caused. I have read and agree with the above conditions.
PAYMENT:
ONLINE PAYMENT - Please use the Google Checkout button on the right to be redirected to the payment page.
CHEQUES/POSTAL ORDERS - Please use the button on the right to register payment by cheques/postal orders.
66
days until the next ride