If you would like to join us please print out this page, fill in the upper portion, and post it to Alan Storer, White Moss, Wetherby Road, Knaresborough, HG5 8LQ. Please make cheques payable to "The Harrogate Cycle Group".

HARROGATE CYCLE GROUP - APPLICATION FORM

I agree with the aims and objectives of the group, and apply for membership. I enclose my annual subscription of £________

Individual membership is £3.00 per year. Family membership, which includes other family members at the same address, is £5.00 per year. If you are applying for family membership, please write the names of the other family members on the back of this page. Membership now runs from April 1st each year.

Name: ____________________________________

Address: __________________________________

__________________________________________

__________________________________________

__________________________ Post code: _________________

Telephone: __________________ Email: ____________________

Signed: ______________________ Date: _______________

(Please note that details will be held on a computer database and will only be used in connection with the group.)

Please tick if you are able to help with any of the following:

Letter writing: ___ Publicity: ___ Surveys: urban ___ country ___

Fund Raising: ___ Administration: ___


HARROGATE CYCLE GROUP - RECEIPT

We acknowledge with thanks receipt of £ ______

individual / family membership subscription for the year ______

From _______________________________

Signed _______________________ treasurer

Date _________________

Your membership number is: _________


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