I/we apply for membership of the Forty-Plus Cycling Club. I/we have read, understand and agree to abide by the Club Rules

Lead Member


Forename:

Known as:

Surname:

Date of Birth:

Email Address:

Tel:

Mob:

Your contact details will only be used to send you communications relating to the Forty-Plus Cycling Club. We do not pass your details to other organizations.

Lead Member's Address

Address Line 1:

Address Line 2:

Address Line 3:

Town:

Postcode:

Joint Member

No Yes

Select 'Yes' to enter details of a Joint Member living at the same address.

Forename:

Known As:

Surname:

Date of Birth:

Email Address:

Tel:

Mob:

Signpost

I would like to receive Signpost by Email: And/or by post:


Members are strongly advised to have third party insurance such as that provided by CTC or BC membership to cover them when cycling. If you are not currently insured and you would like further details please tick this box


Subscriptions

Subscription:

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