PROJECT - 2006
eMail Registration




BIKE AID CHARITY RIDE 2006
Alor Setar, Kedah to Singapore 5th to 11th June 2006

Name:
 
Address:
Phone:       Office:         Fax :    
      Home:         Pager:  
      Mobile:        Other:  
Email:  
Passport/NRIC:  
Nationality:  
Employer:  
Industry/Occupation:  
Meal Preference:
If 'others', please specify
In case of emergency, please contact Name:              
Home Tel:  
  Relationship:    
Other Tel:      
Jersey Size:           T-Shirt Size:      
I want to: