Stevenage Cycling Club

Membership Application Form 2006

www.stevenagecc.org.uk

2006 Membership Rates

Adult £10

Junior (16-18) £5

Schoolboy/girl Free

First Name…………………………………………………………………………….

Last Name…………………………………………………………………………….

Address………………………………………………………………………………..

…………………………………………………………………………………………..

Phone Number (including STD Code)……………………………………………

Mobile Number……………………………………………………………………….

Email Address………………………………………………………………………..

Please make cheques out to “Stevenage Cycling Club” and post with completed application form to;

Alan Sinclair

18 Cuttys Lane

Stevenage

SG1 1UN