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Ride Documentation 1a

Rider Information

For pillion please see 1b

IBA Number (if known)

Name
(Please print how you would like your name to appear on your certificate)
Address
Email
Telephone/mobile
Ride attempted
(e.g. SS 1000)
Date started
Special event name
(if applicable)
Starting Odo
Finish Odo
Total time of ride
Motorcycle used
Registration number
Start/finish points
Cities passed through (to be included on your certificate)
1
2
3

Ride Documentation 1b

Pillion Information

Only to be submitted as appropriate

IBA Number (if relevant)

Name
(Please print how you would like your name to appear on your certificate)
Address
Email
Telephone/mobile

Ride Documentation 2

Start Receipt Information

Start location
Odometer reading

Paste image here or attach to email

Image MUST show start receipt AND odometer reading

Ride Documentation 3

Finish Receipt Information

Finish location
Odometer reading

Paste image here or attach to email

Image MUST show finish receipt AND odometer reading

Ride Documentation 4

Ride Log

To include fuel & other receipts and rest stops over 30 minutes.
Receipts
Numbered in order
1,2,3,etc 		Date Time Location Odo reading GPS reading
optional

All receipts, not just start and finish, must be photo'd next to live odometer and photos must be attached to this submission.

Ride Documentation 5

Accompanying notes

Explanations about unexpected problems such as:-

"In my 3rd fuel stop in Manchester, the receipt time was incorrect so I wrote the correct time on the receipt by hand and asked the cashier to sign. She refused. The phone number of the garage is 01234 56789123."

Spotwalla link (if avail)

Ride Documentation 6

Rider Declaration

Checklist

Please tick to show you have completed and included the following with this Rider Declaration:-

Fees

No payment is due when you submit your documentation. If your ride is verified you will be informed and asked to forward payment as follows:-

Certificate: £30

Additional copies: £5

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Finally

Please confirm the accuracy of your information as follows:-

I (Print name) certify that

  1. I have read and understood the rules of this ride and the Rider Guidance Document.
  2. I have submitted all the above information to the best of my knowledge and belief.

Signed Rider

   Date

    Pillion

   Date