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London to Brighton Cycle 2021 – Ballot
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2020-12-16T12:07:30+00:00
London to Brighton Cycle Ballot
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Name
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First
Last
Email
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Contact Number
*
Organisation (place of work/study)
*
Job Title
Why would you like to cycle for LLST?
Are you happy to cover the cost of the entry fee (£30)?
Yes
Yes
No
Are you happy to commit to raising £250?
Yes
Yes
No
What t-shirt size do your require?
Small
Small
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X Large
XX Large
Home address (including postcode)
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