Beacon Wheelers Membership

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I wish to apply for / renew my membership of Beacon Wheelers for the 2021 Season.

I agree to abide by the rules of the club and acknowledge Club Membership runs annually and is due as of January every year.

I understand the nature of the club’s activities, and that in the case of an accident no claim may be made against any club official or event organiser in respect of the accident or any other circumstances relating to that accident.

Send Cheques made payable to BEACON WHEELERS to the CLUB SECRETARY for the below membership fees.

Alternatively can pay via the links on the club website.

Mrs Lorraine Egglestone - 5 Cypress Way, Carleton Heights, Penrith, CA11 8UN beaconwheelers@yahoo.co.uk

Adult and Junior (16 - 18 years of age) - £10 (first and second claim)

Youth Membership - Under 16 - FREE

Title *

Name - First Name Last Name *

Membership Type

First Claim - £10

Second Claim - £10

Youth - £5

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First Claim Club?

Address - Full Address Including Post Code *

Mobile Telephone Number *

Email Address *

Emergency Telephone Contact *

Emergency Telephone Contact - must be contactable during the event and not your own number! *

Date Of Birth *

YYYY

Full Name (this will be taken as signature for acceptance of club rules regulations) * *

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