Please complete one entry form per cyclist (in block capitals).
The closing date for postal entries is Wednesday 30th June 2010, you can still turn up on the day.
Please ensure that you enclose your £10 entry fee (cheques payable to Jersey Hospice Care Fundraising Limited) with this entry form.

 
You will receive an acknowledgement of your entry together with further information about the cycle challenge. Your event water bottle and registration number will be given to you on the day of the cycle.

 
Please return this application form and your registration fee to:
Tour de Jersey
c/o Fundraising
Jersey Hospice Care
Clarkson House
Mont Cochon
St Helier
Jersey
JE2 3JB

Click here to download an Entry Form