SEEDS CYCLING------- Membership Application 2008

Name :- Mr. Mrs. Miss. Ms. Please circle .

First Name :-

Surname :-

British Cycling Member. Yes / No. if yes Number :-

Cycling Experience :- Novice. Intermediate. Advanced. Please circle.

Note ! Novice less than 6 months on road

Intermediate 6 + months can ride at 15 mph ave. flat route.

Advanced 12 + months, can ride 18 mph ave. over 40 mls flat route.

Address

Date

Town

County

Post Code

Email

Tel.

Signed

Mobile

 

Telephone and email details will be used for training and ride information, and on the road in case of emergency.

Annual Membership Fees £20

Payable by cheque only to Seeds Cycling

Membership Secretary

63 Chastilian Road Dartford Kent DA1 3JY