 |
||
|
|
|
|
|
Reivers Boreen Northumbria Highways and Byways 19th and 20th June 2010 Application Form Rider’s Name:.......................................................................... Pillion’s Name:…………………………………………………………………(if applicable) Address:..................................................................... ..................................................................... ..................................................................... ..................................................................... Post Code:.................................................. Telephone Number - Home:.................................... Mobile:................................ email:.......................................................................... Make and Model of Motorcycle:............................................ Registration No..........................................TankRange:.....................miles Please indicate dietary requirements: Vegetarian………Vegan……Other
Signed:.................................................................. Date:………………………………….. BMW Membership Number...............................(If Applicable) Section………… The cost is £150 per person based on shared accommodation. Send this form and you cheque made payable to NE Section Events to: Ashley Gane (Events) 13 Durham Road Annfield Plain Stanley Co. Durham DH9 7UF PLACES ARE LIMITED AND WILL BE ALLOCATED ON A FIRST COME FIRST SERVED BASIS. BOOK EARLY TO AVOID DISAPPOINTMENT. Please Note: The BMW Club, Northeast Section, cannot accept responsibility for any injury, damage or loss suffered by participants. Riders and pillions should ensure they are properly insured for this event. No refund can be paid after booking. |
||
|
|
| [Application] |