PLEASE COPY AND PASTE THIS INTO AN EMAIL, COMPLETE IT AND THEN SEND TO: ozibaapplications@gmail.com
Subject: (NZ Cert) **Your Name** **RideDate** **RideType**
For what ride are you applying: SaddleSore 1600K (if alternative, please be specific)
Date of ride start:
Existing IBA member? (Yes/No)
If so, member number (if known):
Your Email Address:
Name you want on the certificate:
Address to mail the certificate:
Contact phone number:
Your age:
Gender:
Did you ride this with anybody else (who):
Your Motorcycle make/model:
Your Odometer km:
Your GPS km:
Are the GPS kms more than 50 km different from your planned route? If so, why (help us figure out why):
Spotwalla link (strongly preferred):
Google Maps link showing your route (required if you don’s supply a SpotWalla Trip):
ANYTHING ELSE WE SHOULD KNOW ABOUT YOUR RIDE?
I certify that the statements in this application for certification are true to the best of my knowledge and belief.
Type your name here—
Are you ordering PDF certificate only (US$40) or printed certificate only (US$45) or the full-package (US$54) or the full-monty, complete package (US$61.25)?
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