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Ticket type you'd like to purchase*

75km cyclist

100km cyclist

100 mile cyclist

75km cyclist

Price:

75km route quantity*

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Cyclist one's details*

First name Surname

Cyclist two's details*

First name Surname

Cyclist three's details*

First name Surname

Cyclist four's details*

First name Surname

100km cyclist

Price:

100km route quantity*

Please ensure you select the number of tickets you wish to purchase

Cyclist one's contact details*

First name Last name

Cyclist two's contact details*

First name Last name

Cyclist three's contact details*

First name Last name

Cyclist four's contact details*

First name Last name

100 mile cyclist

Price:

100 mile route quantity*

Please ensure you select the number of tickets you wish to purchase

Cyclist one's name*

First name Last name

Cyclist two's contact details*

First name Last name

Cyclist three's contact details*

First name Last name

Cyclist four's contact details*

First name Last name

Lead booker's title*

Lead booker's first name*

Lead booker's surname*

Lead booker's address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Lead booker's phone*

Lead booker's email*

Lead booker's date of birth*

If registering under 18s, please ensure a responsible adult aged 18 or over is also being registered and will ride with them for the duration of the event.