Aspire2 Wealth Advisers - Charity Ride

1. Registration form

Genesys Wealth Advisers charity ride - Sunday 13 February 2011

Genesys Wealth Advisers is pleased to invite you to take part in the Genesys Charity Ride with the 2010 National Road Series Champions, the Genesys Pro Cycling Team.

The registration fee of $40 will entitle you to a two hour bike ride with members of the Genesys Pro Cycling Team, who will provide instruction and tips on technique along the way and the chance to win an OPPY C7 Bike as used by the pros valued at $5000. Net proceeds of the event will be donated to the Meningitis Centre and Children First Foundation.

For simplicity, registration fees are payable in cash on the morning of the ride.

The ride will commence at 7.30 am, meeting at Perry Lakes Reserve (off Perry Lakes Drive the Underwood Avenue side).

All participants will need to have their own serviceable road bike.

Online registration closes on Wednesday 9th February and spaces are limited. Prize winners will be announced on the day.

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* 1. Complete your personal details below

Name: *

Address 1: *

Address 2:

Suburb: *

Postal Code: *

Phone Number: *

Email Address: *

Gender: *

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* 2. Select your age group:

18-30

31-40

41-50

51-60

61+

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* 3. Select your riding skill level.

Junior (age 12 and under)

Novice

Intermediate

Advanced

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* 4. Would you like to receive information about the Genesys Pro Cycling team via email?

Yes

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* 5. Opt out

From time to time we may email you information on our services, tick here if you would like to opt out of receiving information from Genesys Wealth Advisers .

Thanks for entering to ride with the pros from the Genesys Pro Cycling team.