Team Details

 

Team Name:*

 (The friendly name for your team)

Team Number:  (This is your preferred Team No.)

 

Nom. Charity 1:

Nom. Charity 2: (up to 2 nominated charities for 66% of the money you raise)

Team Speed: Beginner Medium Fast

Sponsorship Target

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 (A minimum of £1,200 per team)

 

Team Leader (for Correspondence)

 

First name:*

Last name:*

Company / Org:*

Address:*

 

 

Town:*

County:

Post Code:*

Daytime Tel:*

Mobile:

eMail:*