APPLICATION FORM TO JOIN
REDBRIDGE CYCLING CLUB

When completed, please forward to Club Membership Secretary:
,

(with a Cheque made payable to “A. M. OSBORNE”)

Name
Address




Date of Birth
Telephone
E-mail Address

Emergency Contact Details (Name, Telephone, Address)



I wish to apply for membership of the Redbridge Cycling Club and, if elected, agree to abide by the Rules of the Club.
I AM / AM NOT a member of British Cycling.
I AM / AM NOT a member of the Cyclists Touring Club.
I shall / shall not require Third Party Insurance through the Club Affiliation Scheme.
If required, please indicate: British Cycling / Cyclists Touring Club.
I will / will not require a British Cycling Racing Licence.
Current Subscription Rates (all cheques to be made payable to “A. M. OSBORNE”)
Full Club: £17 per year.
Reduced rates for Associate, Junior or Youth (minimum age 15 years).
British Cycling Membership:
Various Rates: (depending on standard of Insurance required)
Bronze £13.50; Silver £36.00; Gold £64.00.
Reduced rates for Under 18 years.
British Cycling Racing Licence: £32.00.
Reduced rates for Under 18 years.
Cyclists Touring Club: (Third Party Insurance only) £12.00.
Period of Cover is October 1 to September 30.

Applicant's Signature