Christchurch Singletrack Club Membership 2021

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Membership for the 1 July 2021 to 30 June 2022 year.

Memberships can be paid directly into the club bank account or in cash at an event. The club bank account number is 03-1355-0659108-01. If you don't have an email address contact Rebekah on 0273134908 to discuss options. This form is just for JOINING the club. There will be a separate form for signing up for events.

Email *

Type of membership *

Individual ($25)

Family ($40)

Student ($10)

Awarded Lifetime Membership

First Name *

Surname *

Date of birth *

YYYY

Gender *

Female

Male

Prefer not to say

I give permission to pass my details to CyclingNZ/MTBNZ (this is part of the club affiliation)

Yes

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Address

Mobile number

Landline

Emergency contact name

Emergency contact number

Family Memberships - list names and birthdates of additional people

School/s (if applicable)

I would like to

Make a donation to trail building (add it when paying your membership)

Help out with set up at races

Help with trailbuilding on the Port Hills CCC network

Help with trailbuilding at the Crocodile XC MTB Park - I'll sign up at http://www.singletrack.org.nz/traibuilding-signup/ if I haven't already

Help with trailbuilding at Living Springs

Join the club to show that I appreciate what you do :-)

Other:

How will you pay? *

Internet banking to club account - 03-1355-0659108-01 - I'll do it right now! Particulars = name, Code = phone number, Reference = membership

Cash at a club race

Not applicable

Is there anything else you would like to say?

Thank you! (Don't forget to press Submit)

We appreciate your support. This form is not automatic - someone will be in touch to acknowledge your membership when they can. Now click on that Submit button!

A copy of your responses will be emailed to the address you provided.

Submit

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