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Marble Mountain Challenge
Sunday 7 November 2010

The Ultimate Takaka Hill Climb Time Trial (15km approx)
Sign on Riwaka Recreation
9.15 - 9.45am
First Rider Away: 10.00am
Entries & enquiries to:
Averil West
Cycling Nelson
PO Box 269
NELSON
Ph (03) 548 3655
Email: avewest@clear.net.nz
Entry Fee:
$15.00

Trophies:

Fastest Man

Fastest Woman

Most Improved since 2009.


ENTRY FORM

DISCLAIMER:
I agree to ride in the Marble Mountain Challenge entirely at my own risk and will hold no other person or organisation responsible for any outcome as a result of my participation.
I understand the road will be open to traffic at all times and that road rules apply at all times.
I also state that my bicycle is in a safe and roadworthy condition and that I will obey all road rules and directions of officials during my ride.

Name:


Address:




Email:


Phone:



 


__________________________________________Date of Birth:__________

________________________________________________

________________________________________________


________________________________________________

________________________       Estimated Time:_________

M/F  Signed:____________________

Road Cycle  
Mountainbike  

ENTRY FEE






 




ENTRY FEE

 




$15 _____________   Enclosed


Please make cheques payable to Cycling Nelson