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Kiama BUG Membership 2022/2023
Please pay your membership ($10) directly to the Kiama BUG Bank Account (details on the Kiama BUG Website). Following your payment, complete this form to provide your Membership details.
The contact information provided below will be used for our regular Ride sheets.
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* Indicates required question
Name
*
Your answer
Address
*
Your answer
Contact Email
*
Your answer
On-ride phone number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
I have paid my Kiama BUG Membership Fee
*
Pay by Direct Bank payment, as per info on the Kiama BUG Website > Membership
Yes
No
I am a member of Bicycle NSW
*
Bicycle NSW membership includes personal accident and public liability insurance.
Yes
No
Bicycle NSW Membership Number
This number can be found in email correspondence from BNSW, your digital membership card, or by contacting BNSW on (02) 9704 0800, or
info@bicyclensw.org.au
Your answer
Bicycle NSW Membership expiry date
If you have recently renewed (or auto-renewed) your BNSW membership expiry will be 30th June 2023. (Depending on your browser / computer settings, this may appear in US format - MM/DD/YYY)
MM
/
DD
/
YYYY
I am a member of another cycling-related organisation
Please provide details of the cycling organisation (that provides personal accident and public liability insurance) and the expiry/renewal date of your membership of that organisation.
Your answer
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