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4-day Rider Registration

  • Date Format: MM slash DD slash YYYY
  • Postal Address

  • License details

  • Medical details

  • In case of emergency, contact information.

  • GP Contact details

  • Route & Deposit details

    • 4 Day Participation = $1,600
    • Raise a minimum of $4,000 and/or support fundraising events
    • Includes: accomodation,bike & luggage transportation, food, airfare, 2x jersey & shorts, wind vest, arm warmers and socks, casual T-Shirt and a 3-month premium exercise science-based training package with Exercise Institute.
    Options for partners *
    • 1 night's accommodation, evening meal and breakfast the following morning
    • $150.00 per person /per night
    * Subject to availability ** Price may be subject to change.
  • Price: $ 1,600.00
  • Additional accommodation
    $150.00 per person/per night
  • $ 0.00
  • Payment Details

  • CHEQUE
    Enclosed is my cheque or money order payable to Red Sky Ride


    DIRECT DEPOSIT
    Attached is a copy of my bank receipt for a direct deposit to: Bank: Westpac
    Account Name: Red Sky Ride
    BSB 036-304
    Account 233 174

  • This can be emailed later to michelle@solariscancercare.org.au
  • CREDIT CARD
  • PAYPAL
    Pay via PayPal

  • Read Terms & Conditions here.