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Reivers Boreen 18th – 19th June 2011 Application Form Rider’s Name:.......................................................................... Pillion’s Name:………………………………………………………………………(if applicable) Address:..................................................................... .................................................................... ..................................................................... ..................................................................... Post Code:.................................................. Telephone Number - Home:................................... Mobile:................................ email:.......................................................................... Section (If Applicable)..................... Make and Model of Motorcycle:............................................ Registration No..........................................Tank Range:.....................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.
Please send this form and you cheque made payable to NE Section Events to: Ashley Gane PLACES ARE LIMITED AND WILL BE ALLOCATED ON A FIRST COME FIRST SERVED BASIS. BOOK EARLY TO AVOID DISAPPOINTMENT. There can be no refunds for cancellations. 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 and have their own rescue package in place.
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| [Reivers Boreen] [Map] [Application Form] |