Stevenage Cycling Club

 Membership Application Form 2010

www.stevenagecc.org.uk

 

2010 Membership Rates

 

Adult                      £15

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;

 

 

Stephen Thomas

31 Trent Close

Stevenage

SG1 3RT