Your DetailsName(Required) First Last Address Street Address Address Line 2 City County / State / Region Post Code Isle of ManUnited Kingdom Country Email Address(Required) Enter Email Confirm Email Phone NumberMembership DetailsMembership Level(Required)Standard Membership (No Benefits)Bronze MembershipSilver MembershipGold MembershipT-Shirt Size(Required)Please let me know us know what size t-shirt you would like. Would you like to purchase any of Southern 100 Plaques?(Required)NoYesOne of the most coveted awards of the Southern 100 Road Races is the Finishers Plaque awarded to a rider who finishes a race but does not qualify for any other award. The Finishers Plaques are provided by donations from the public and cost £5.00 per plaque. All subscribers are acknowledged in official race programme and a draw is made at the Southern 100 Prize Presentation, with one lucky subscriber receiving a prize, which in recent years has been an Isle of Man Steam Packet Company £200 voucher. A second prize is drawn for £50.00 in cash or cheque.Would you like to purchase any additional Southern 100 Plaques?(Required)NoYesOne of the most coveted awards of the Southern 100 Road Races is the Finishers Plaque awarded to a rider who finishes a race but does not qualify for any other award. The Finishers Plaques are provided by donations from the public and cost £5.00 per plaque. All subscribers are acknowledged in official race programme and a draw is made at the Southern 100 Prize Presentation, with one lucky subscriber receiving a prize, which in recent years has been an Isle of Man Steam Packet Company £200 voucher. A second prize is drawn for £50.00 in cash or cheque.Number of Plaques(Required)1 Plaque2 Plaques3 Plaques4 Plaques5 Plaques6 Plaques7 Plaques8 Plaques9 Plaques10 PlaquesName(s) for inclusion in the Southern 100 Programme(Required)Would you like to purchase any additional Southern 100 2026 Badges?(Required)YesNoNumber of Badges(Required)1 Badge2 Badges3 Badges4 BadgesTotalThis field is hidden when viewing the formMembership Expiry DD slash MM slash YYYY Join the Southern 100 Mailing List Join our Mailing ListPassword(Required) Enter Password Confirm Password Strength indicator Total Coupon Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
