Registration

This Form is for Registering via the web site. Payment has to be direct to the account shown below.
If you would prefer a Paper copy to download, and then post it Download here.

IVCA 2019 BURTON CONSTABLE 29 May – 3 June 2019

REGISTRATION: Please complete in CAPITAL LETTERS & send entries for each participant.

Entry fee: £200 Children 5-10: £50
PLEASE NOTE ALL PAYMENTS IN £ STERLING
Entry fees to be paid as soon as possible – see details following.

Please give your surname as a reference with your payment.

Rally fees to: LLOYDS BANK
Account Name: YORKSHIRE HISTORIC CYCLE CLUB
Account No.: 34705460
Sort Code: 309191
IBAN NUMBER: GB27LOYD30919134705460
BIC NUMBER: LOYDGB21456


(Include country and post code)

Please select: Vegetarian – Non Vegetarian or state any other dietary requirements below:

Please state which machine /machines you will bring and/or ride: Details to include are age, make and model:

Do you wish to ride a Century course or some part of it?

Have you paid your fee to the account shown above?

Registrants participate at their own personal risk. You are responsible for insuring yourself against any damages you might suffer or cause. All participants must agree to any instructions issued by the organisers of the Rally. Please click to agree with these conditions:
Enter Date: <-- Click box to Accept the conditions, also activate Send button.

Please prove you are human by selecting the Cup.