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Round the Mountain Handicap Classic Race

by | Aug 25, 2014

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Proudly Present

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The Devon Hotel Round the Mountain Handicap Classic Race

4 October 2014

Surname ……………………………………..             First Name …………………………….

Address…………………………………………………………………………………………..

Town/City………………………………………………………………………………………..

Home Phone………………………………..Day/Night………………………………………..

License Category                                                                               License Number…………………….

Under 19 Men    Men        Women                                  Email Address……………………………………………….

Under 19 Women   Masters Men    Women

Date

Race

Distance

Riding Time

Handicap or Graded Placing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                                               

 

 

 

Amount Enclosed

Fees:   Entry Fee                                                                                                                               $55.00                  

Total Enclosed  Late Fee Applies 25th September 2014 $20.00                                                                                                                                                                                                                                    $…………………

All Participants will require a WCNI Centre or Bike NZ National License. The Race will be conducted under Bike NZ rules.

I agree to Participate at my own risk waiving all claims against Organisers. Official entry will only be received once payment is received.

Signed……………………………………………

Post completed form to:

Secretary Cycling New Plymouth – Racheal Cottam, Box 3092, Bell Block,  New Plymouth. Cheques payable to Cycling New Plymouth . Any queries rtcottam@gmail.com or phone 067550239.

 

ACCOMMODATION OPTION: The Devon Hotel is offering a special rate to all participants of $135.00 per room. Please contact the Devon Hotel Directly quoting  Round the Mountain race. Devon Hotel Number is 06 75 99099.

 

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