Tandem Cycling Challenge Application Form

£ 75.00
Thank you for your interest in taking part in the Retina UK Tandem Cycle Challenge! To join the team please fill in this form and pay the £75 registration fee per person. A member of the team will then be in touch to confirm your place. Registration fees are only refundable if we are unable to offer you a place. Please read the terms and conditions before submitting your form. If you'd prefer to complete the challenge on a solo bike you can! Just make a note of it in your application. If you have any questions please contact Emily Webb on 01280 815900 or email emily.webb@RetinaUK.org.uk
Details of cyclist two (if applicable)
Personal Info

Billing Details

Terms

Donation Total: £75.00