MS Australia

Geoffrey Hilton $18,220

Glenn Fordham $16,460

Gavin Slaughter $14,078

Arthur Panos $13,440

Bill Younger $13,112

More…

REGISTRATION - PERSONAL DETAILS

Please complete each section to register for the 2008 MS Sydney to the Gong Bike Ride.

At the end of this registration process, an individual fundraising page will be created in your name and be available for you to personalise. Making it easier to fundraise, promote your ride and thank your sponsors.

If you have a prepaid payment code please enter it below

Payment Code

Have you participated in an MS event before? * yes no

Title *

First Name *

Last Name *

Gender *

Date of Birth * / /

Children under 16 years of age must be accompanied by an adult.

I will be entering as a family

Please provide name and age of each family member.

Child 1
First Name	Last Name	DOB	/ /
Child 2
First Name	Last Name	DOB	/ /

Postal Address

Address line 1 *

Address line 2

Town/suburb *

Postcode *

State *

Phone Numbers

Home

Work

Mobile

Email Address *

User name / URL address *

Hint: Simply enter your first and last name
Team Captains: Do not put your team name here

Password *

Confirm Password *

Make a donation

Select the amount you wish to donate: $25 $60 $120 $500 other amount

Your fundraising page

If everyone from last years event fundraised $200 each, it would mean an amazing $2,000,000 for people with MS

Fundraising goal

Message and TItle to appear on your fundraising page

Page Title

Thank you for helping us fundraise $2,000,000!

Click here to find out how your support will be helping people with MS!

page loaded in 0.73409 seconds.