Prudential Ride London-Surrey 2018 sign up Sign up now, help us to fight meningitis and pedal your way to glory in one of the biggest cycling events in the world Sign up for Prudential RideLondon-Surrey 100 2018 Personal details TitlePlease select... Mr Mrs Miss First Name Last Name Date of birth Must be 18 or over on 1 July 2018 Organisation name If applicable Email Phone Whichever is your preferred number Street Address Town or City Postcode About the event How did you hear about this event?Please select... Leaflet Email Facebook Twitter LinkedIn Internet search Other website Meningitis Now website E-news Previous participant Radio Newspaper coverage TV Friend/family Meningitis Now staff Volunteer Other If other please state Your meningitis experiencePlease select... Personal experience Family experience Friend/Colleague experience Nursery experience Pupil/Student experience Employee experience Professional experience No experience Please tick here of you are happy for us to contact you about your experienceYes In the event of an emergency please contact: Name Relationship to youPlease select... Husband Wife Partner Mother Father Daughter Son Sister Brother Guardian Other family member Friend Nephew Niece Uncle Aunt Grandparent Contact number Why are you interested in taking part in this event?Please select... In memory In celebration Want to take on the challenge for myself Other Other please specify Please select the size of your cycling topPlease select... Small Medium Large X-Large XX-Large What name would you like on your top Maximum 10 characters Please outline your fundraising plans and ideas to raise the minimum pledge Please give as much detail as possible Does your employer offer a matched giving scheme? If so please provide details Have you previously fundraised for a charity? Eight weeks after the event, we will email you an electronic certificate to reflect your fundraising total. If you would prefer your certificate by post please tick here.Please post my Certificate Sign up now online Online registration fee £50 (non refundable) 1 ticket for Ride-London 2018By signing up you agree to endeavour to raise £499 sponsorship for Meningitis Now Gift aid declaration and donations Donation amount (£xx.xx) Thanks to the Government’s Gift Aid scheme, Meningitis Now can reclaim 25p on every £1 its supporters donate. If you are a UK taxpayer, you can make your donations worth 25% more to us at no extra cost to you.I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want. Meningitis Now to reclaim tax on the donation detailed above, given on the date shown and any donations I make in the future or have made in the past 4 years. I understand that if I pay less Income. Tax or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations, it is my responsibility to pay any difference. I understand Meningitis Now will reclaim 25p of tax on every £1 that I have given. I am not a UK taxpayer Today's date Select the way(s) you would like us to contact you We would like to contact you by post, phone, SMS and email to update you about our work and activities. If you are happy to receive this information from us, please tick the relevant boxes:I have selected how I would like to be contacted Post Phone SMS Email No contact By submitting you agree to the below Terms and ConditionsI agree Terms and Conditions Click 'submit' to be redirected to the payment page, please have your credit card, debit card, or PayPal login ready Need assistance with this form?