Cycling 2020 Sponsorship Entry Form

Atlas Cycling 2020 Sponsorship Entry Form

First Name

Surname *

Email *

Mobile Number *

Date of Birth *

Address

Postcode *

Race Distance *

67 miles/108 km100 miles/161km

Competitive Racing or Social

Sport (Default)Race (Race Licence needed)

Cycling Jersey Male Size

Cycling Jersey Female Size

Emergency Contact Name *

Emergency Contact Number *