Applicants Details

 
Full Name       Date of Birth  
Address      
Post Code           Telelphone No 
Email          
Former Club (If joining from another Club)   

Signature         Date

Membership Fees
A Club Membership
Juvenile Under 16 years old £5-00
Junior 16 & 17 years old and full-time students £10-00
Senior 18 years old and over £20-00
Over 60 £15-00
Unwaged £10-00
Family Maximum of 2 adults and 3 children
(up to the age of 16 yrs) living in the same household.		 £38-00
Associate £5-00
2nd claim 50% of above
  FAMILY MEMBERSHIP Please complete a seperate form for each family member.
       
B British Cycling (Formerly BCF)
If you are not a member and wish to join please contact British Cycling direct.
Under 12 If already a member,
please quote your Membership No .................................
Youth (12-15) If already a member,
please quote your Membership No .................................
Junior (16-18) If already a member,
please quote your Membership No .................................
Senior (19+) If already a member,
please quote your Membership No .................................
Family If already a member,
please quote your Membership No .................................
Racing Licence If already a member,
please quote your Membership No .................................
C Cyclists Touring Club
Affiliate * £12-00
Full Member Membership Number .................................
* This allows you to take part in Club activities and time-trials, but not road, track, Cyclo-Cross or mountain bike racing where British Cycling membership and either a full or day racing licence is required
         

Total Due

 (cheques payable to Mildenhall CC)