Entry Form Molash Blossom Ride 2018

ENTRY FORM  – MOLASH BLOSSOM RIDE –  SUNDAY 8TH APRIL 2018

 WYTHERLING COURT. MOLASH, CT4  8HX

Please use BLOCK CAPITALS

 

1. Name
(main contact)
Entry fee
Address

 

 

                                                                       Post code:  

 

£

Tel. no.      
2. Name  

 

 

 

 

 

£

Address

 

 

 

 

Post code:

Tel. no.      
3. Name  

 

 

 

 

 

£

Address

 

 

 

 

Post code:

Tel. no.      
4. Name  

 

 

 

 

 

£

Address

 

 

 

 

Post code:

Tel. no.      

TOTAL  £   

I should like to ride with (not in the list above) ____________________ Preferred starting time: _____

Entries with stamped addressed envelope, signed and appropriate entry fee (NONRETURNABLE)

£12 (17 & over)     £10 (16 & under),              No later than 5th  April 2018 to:-
Mr. Geoff Jenkins, Kings View, Shottenden Lane, Molash, Canterbury, Kent CT4 8EZ

Please make cheques payable to MOLASH PCC CHARITY RIDE

I have read the Schedule and agree to abide by the Rules. I guarantee to pay the Riding Fee of £5 on the day

Signed:            _______________________________________________

Parent or Guardian if under 17 years of age