Entry for the North Island XC R3,
Sun 22nd Feb
(1 week from now)

Instructions

This year the Central XC is doubling as the North Island XC Series.

So, twice the fun :-)

Don't miss this final round!

Your Details

Name

Birth date

Phone Number

Address

What sort of Licence?

MNZ Championship
MNZ Club
I will need a day licence.

MNZ Licence Number

Your Entry

Bike Number

Manufacturer

Model

Race

Class

I confirm the information I have supplied above is correct.

I have read and accepted the Disclaimer of Liability for this event.

After submitting this form you will receive an email with banking details and a booking number.

Please deposit into: 03-0726-0603150-003. (J W Rushworth)

DON'T FORGET: Use the booking number in your deposit details, preferably in the REFERENCE field

Once your payment is confirmed (could be up to a day later) you will receive another email confirming your and your bike number.