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2017 Sign-up
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Terms & Conditions
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2017 Fundraising Goals
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To register your place on the 2017 cycle complete one of the forms below.
Register & Pay Deposit by PayPal
Step 1 of 2
50%
Name
*
First
Last
Email
*
Gender
*
Male
Female
Cycling Jersey
*
Small
Medium
Large
X-Large
XX-Large
Cycling Jacket
*
Small
Medium
Large
X-Large
XX-Large
Bib Shorts
*
Small
Medium
Large
X-Large
XX-Large
Select your tour option.
Tour Option
*
Full Tour
Stages
Your fundraising total will be:
Stage 1.
Sneem
Stage 2.
Sneem - Dingle
Stage 3.
Dingle - Tralee
Stage 4.
Tralee - Lahinch
Stage 5.
Lahinch - Galway
Deposit Price
Price:
€600.00
Terms & Conditions
*
I accept the terms and conditions
Read terms & conditions here
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Register & Pay Deposit by Bank Transfer
Step 1 of 2
50%
Name
*
First
Last
Email
*
Gender
*
Male
Female
Cycling Jersey
*
Small
Medium
Large
X-Large
XX-Large
Cycling Jacket
*
Small
Medium
Large
X-Large
XX-Large
Bib Shorts
*
Small
Medium
Large
X-Large
XX-Large
Select your tour option.
Tour Option
*
Full Tour
Stages
Stage 1
Sneem
Stage 2
Sneem - Dingle
Stage 3
Dingle - Tralee
Stage 4
Tralee - Lahinch
Stage 5
Lahinch - Galway
Your fundraising total will be:
Deposit Price
Price:
€600.00
Confirm Payment by Bank Transfer
*
I will pay the deposit by bank transfer.
Terms & Conditions
*
I accept the terms and conditions
Read terms & conditions here
This iframe contains the logic required to handle Ajax powered Gravity Forms.
