M Donnelly Junior Tour 2005
6 Day Cycle Stage Race ...... 12th - 17th July

Under the auspices of the Cycling Ireland

Entry Form

Team / Club Name _______________________________________________

4 riders maximum Name

( Please Print Clearly)

 Date of Birth Licence No. Entry Fee €40 per rider
Rider 1        
Rider 2        
Rider 3        
Rider 4        

Manager ________________________________ Contact Tel. ________________

Address __________________________________________________________

_________________________________________________________________

Accommodation Required €55 per person / per night (Dinner, Bed & Breakfast)

Number of people _______ Number of nights _______ Deposit €5 pp/pn _________

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Completed entry forms with €40 euro per rider should be returned by 18th June to ; -

Alice Sherratt, 4 Roselawn Glade, Castleknock, Dublin 15. Ireland