MEMBERSHIP APPLICATION
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Mr / Mrs / Miss / Ms (Delete as applicable) |
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Surname |
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Address |
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I wish to become a member of the Hillingdon Cycling Club and understand that, once accepted, I will receive a copy of the Club’s Rules and should I not be willing to abide by them my subscription will be refunded |
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Subscription rates are as follows: New Members (first year) £10.00 Senior Membership £25.00 Junior Membership £13.00 Juvenile Membership £5.00 65+ (Over 65) £20.00 Associate £13.00 Second Claim £19.00 |
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(if you are joining as a Second Claim member, please provide below the name of your First Claim club)
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I enclose a cheque for £..................... payable to Hillingdon Cycling Club |
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Applicant’s Signature |
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Send the completed form and cheque to: Jim Burgin 33 Pinelands Park Padworth Common Reading RG7 4QB |
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