Assistant Secretary (Events)
Andrew Small, 11 Simpson Close, Maidenhead, SL6 8RZ
tel: 01628 632405
Email:

Application for Club Events 2009

Club
Name of Contact
Telephone
Address

 Postcode

Email


Date

Day

Course

Distance

Time
of Start

Estimated
number of riders


























































































Applications must be submitted by Thursday the 11th of December 2008

Email applications are acceptable. To print this form click on "File" and "Print".