Membership Form 2008 |
| (This form can be used for any members at the same address) |
| By signing this form, you agree to abide to the Rules and
Regulations set out by Team Cambridge |
| First Name |
Surname name |
Date of Birth if under 18 |
Membership 1st/2nd/Ass |
Signature |
Date |
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| (please note: a Parental consent form must be
filled in for under 18’s) |
| Address
___________________________________________________________ |
|
__________________________________________________________________ |
|
__________________________________________________________________ |
| Post Code ______________ Telephone
__________________________________ |
| E mail Address
______________________________________________________ |
| If Second Claim, please state First Claim Club
______________________________ |
| **Note : By signing this membership form you agree to have your
email address entered into the club mailing list system. Should you wish for
this not to be the case please advise the Membership secretary. For more
details see the contact page on the club website. |
| Year 2008 Club Subscription Rates |
Qty |
@ |
Cost |
| 1st Claim* |
|
£15 |
|
| 1st Claim (under 18)* |
|
£7.50 |
|
| 2nd Claim* |
|
£8 |
|
| Associate |
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£1 |
|
| CTT (RTTC) handbook** |
|
£7.00 |
|
| Total amount (Payable to Team
Cambridge) |
£ |
|
| * Due to CTT increasing the levy for club events, to
enter club events a charge will be made for both 1st Claim & 2nd Claim
members. The fee will equal to the CTT levy. |
| ** Orders for handbook will only be taken until
16th Jan 2008. After that date you will need to order your own. |
| I am/We are willing for my/our contact details to be released to
members of Team Cambridge in conjunction with cycling related matters.YES/NO
(please delete as appropriate) |
| |
Please return your completed form with payment to: Membership
Secretary, Ian Millard, 4 Wilson Way, Milton, Cambridge, CB24 6BX. or e-mail:
Membership@team-cambridge.co.uk
Telephone:
01223 511155
|
| FOR MEMBERSHIP SECRETARY USE ONLY : PAID______ ENTERED______ |
