Registration form - "Good Wheel 2010"

The annual bike ride to benefit the children of the ISCD will commence on October 17th 2010 and conclude on October 20th. The exact route and schedule is to be published soon. For further details you may:

Call us: +97235754444

Email us: neta@iscd.com

or you can fill in your details online using the following form and we will get back you promptly!

*NAME

*SURNAME

*EMAIL ADDRESS

*MAILING ADDRESS

*ID OR PASSPORT NUMBER

*TELEPHONE

*PARTICIPATING IN 4 DAYS (YES/NO)

*CONTACT IN CASE OF EMERGENCY

*PARTICIPATING IN SHORT/LONG ROUTE

*TOP SIZE (FROM XS TO XXL)

DO YOU REQUIRE A RENTED BICYCLE?

DO YOU NEED HELP IN RAISING SPONSORSHIPS (YES/NO)

SLEEPING ARRANGEMENTS ARE RANDOM. DO YOU PREFER TO SHARE A ROOM WITH A SPECIFIC PERSON? IF YES, PLEASE STATE FULL NAME

DO YOU REQUIRE AN ACCESSIBLE ROOM?

DO YOU REQUIRE SPECIAL FOOD (VEGETERIAN, KOSHER)?

HOW DID YOU HEAR ABOUT THE GOOD WHEEL?

Tell a friend

123 Rokach Street, Ramat Gan 52535 Tel: +972-3-5754444, Fax: +972-3-7511649 www.iscd.com E-Mail: disport@inter.net.il

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