ENTRY FORM

Meriden Motorcycle Megaride
27 - 06 - 2010

The Commemorative Badge will be sent to ALL ENTRANTS
donating £5-00 or more whether they make the ride or not
(including those from overseas)

Enter early to get your Megaride Commemorative badge before
27th June 2010. Confirmation will be sent from end of April (with your badge) 

I would like the Charity to reclaim tax on my Gift Aid and I will have paid enough
 income tax/capital gains tax in the tax year to cover this. Please tick here 
County Air Ambulance Charity Number 1001064

Name:



Address : 
 

Post Code :

Credit Card Number : Expiry: 3 Figure Security No: 

Amount Donated £'s Sterling : 

N.B. This form may not be submitted direct as we have no secure facilities - YET

Complete the form, print out and Post to the address below
Postal orders / cheques payable to 'Meriden Motorcycle Megaride' Post to :-

• Meriden Motorcycle Megaride
  Oakdene,
  Oldwich Lane East
  Fen End
  Kenilworth
  CV8 1NR
  England

Tel. No. for enquiries: 00 44 (0) 1676 532709

Save Paper - Fold to fit the above address in a used window envelope