AFC Coast to Coast – Registration Form

Your personal details
Name*
First Last
Gender*
Date of Birth*

DD
MM
YYYY
Email*
Mobile number*
Other details
Size for cycling shirts*
Do you have any medical conditions we need to be aware of?
(We will ask you to confirm these details on the day of the event)
Do you have any dietary requirements?
(We will ask you to confirm these details on the day of the event)
Next of kin details
(We will ask you to confirm these details on the day of the event)
Next of kin phone number*
Next of kin name*
Your agreement to donate/fundraise for the RAF Benevolent Fund
By registering for this tour, I agree to personally donate or fundraise £150 for the RAF Benevolent Fund (on top of the £350 I am paying to the cost of the tour)*
- Yes, I agree
Tour Payment
Coast to Coast 2020 Tour*
Price: £ 350.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Your personal details