Enter  SERRL EVENT 19 BETTESHANGER

Where you see * information is required, everything else is optional.

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* (this will not be made public) e.g. jbloggs@jbloggs.com
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* e.g. Joe Bloggs
Shown on your BC license, if you have one e.g. 123456
e.g. Finsbury Park CC
e.g. Red/Grey
e.g. Loganberry Desserts/ Hulk Tool SA
e.g. 2
e.g. 99 Stanley Terrace
e.g. W12 8QT
e.g. 21-Sep-1961

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Notes for the organiser e.g. 'will require a vegan meal after the race'