Leigh Premier Road Club
Founded
1964
…………………………………………………………………
…………………………………………………………………
Post
Code …………………. Phone No …………………………..
Email ……………………………………………………………………….
Category Annual
Subs Tick appropriate box
|
Senior |
£10 |
|
|
Junior |
£10 |
|
|
Juvenile |
£5 |
|
|
Social |
£5 |
|
|
2nd
Claim |
£5 |
|
Previous
Club (if any) or 1st Claim club ………………………………………….
Interests and memberships
Please list any other club memberships (ie
BCF CTC etc) and what you cycling
interests are
(ie road race, time trial, cyclo-cross, MTB,
touring,coaching etc)
I
wish to apply for membership of Leigh Premier Road Club and agree to abide by
its rules, regulations and by-laws.
Signed
…………………………………… Date …………………….
Parental
signature if under 18 …………………………….
Membership
application is subject to the approval of the committee.