…. Enter The Double Bimble 2018 We dare You Step 1 of 3 33% Before you enter The Purbeck Bikemonger Bimble we would like to offer you the opportunity to Ride for charity and earn a free place? Simply pay for your place now, raise £250 for one of our charities and your entry fee will be deducted from the money you raise by your chosen charity. We'll send you an email with all the details once you have completed your entry form.Would you like to ride for charity and get a free place?*Please SelectYes - sign me upNo thanks - it's not for mePlease ChooseWhich of our charity partners would you like to ride for?*Please ChooseForest Holme HospiceAutism WessexLewis Manning HospiceJulia’s HouseBorder Collie RescueMargaret Green Animal RescuePlease Choose Your entry fee will be refunded to you by your chosen charity subject to you raising £250 for them. Your entry fee will not be refunded if you do not reach the £250 target. Please check the box below to confirm your agreement to these terms.* I agree Thank you for choosing to ride for charity! This entry form is for THE DOUBLE BIMBLE Please complete the entry form to get your place.Thank you for choosing to participate in The Purbeck Bikemonger Bimble. This entry form is for THE DOUBLE BIMBLE Please complete the entry form to get your place.Name* First Last Gender*MaleFemaleAge on 15-09-2018*Date of birth* DD MM YYYY Email* Expected Time*Sub 3 hrsSub 4 hrsSub 5 hrsSub 7 hrsThis route is a 49-mile cross-country route.Post Code* ZIP / Postal Code Not everyone wants a T Shirt. Do you?*Yes pleaseNo thanks, donate the money to charityWe normally present all entrants with a T Shirt, but if you don't want one we'll give the money to charity instead.What size T-Shirt would you like?* X Small Small Medium Large Xtra Large Thank you for your donation. We appreciate it and will ensure it's used wisely. Your Phone NumberEmergency Contact Name First Last Emergency Contact Phone Number*Where did you hear about The Purbeck Bikemonger Bimble? Our Website Other website Facebook Twitter Other press Other Please confirm that you have read our event Instructions and our Terms and Conditions of entry?* Yes Please confirm that you are aware that The Purbeck Bikemonger Bimble is a self reliance and time trial event?* Yes Any additional comments or information you wish to pass on to the organisers.I DECLARE that on event day I will be fit to compete and over 18 years of age. I accept that the organisers shall not be liable for any injury, illness or accidents as a consequence of my participation in this event. I will abide with the rules governing this event. I will carefully read all information available on the website prior to the event and I understand that this is a challenging, predominantly off-road event.* Please tick to confirm Coupon Product Name* Price: £ 40.00 The Purbeck Bikemonger Bimble - FullTotal £ 0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name By using this form you agree with the storage and handling of your data by this website.* I Agree Once again thank you for choosing to ride The Purbeck Bikemonger Bimble for charity. You will shortly receive a confirmation email with further information. Good luck with your training and we'll see you on the 15th September 2018Thank you for choosing to ride The Purbeck Bikemonger Bimble. You will shortly receive a confirmation email with further information. Good luck with your training and we'll see you on the 15th September 2018NameThis field is for validation purposes and should be left unchanged.