BOBMC Rider Mania 2014 Registration

Complete Name*

Gender*

Email*

Enter EmailConfirm Email

Mobile Number*

Blood Group*

Emergency Contact (Must be different from number above)*

Address*

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry

Are you riding with a club or individual?*

Which club are you a member of?*

Provide your club name.

Bike Registration Number

Tee Size*

Waist size (inch)*

Chappal size*

Have you attended any previous Rider Mania? *

Which ones have you attended? *

Accomodation Type*

Upload Passport Photograph*

Upload Transaction Proof*

Scanned copy of cash deposit slip or screenshot of online account transfer

Agree to terms and conditions*

I hereby certify that I have read and agree to the terms and conditions of BOBMC Rider Mania 2014.

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