How to Join Norwich Cycling Campaign
To join, fill in and print out this form and send it with the
membership fee to.
(Please make cheques payable to Norwich Cycling Campaign.)
Norwich Cycling Campaign
42-46 Bethel Street
Norwich, NR2 1NR For more information, phone 07812 904652
| Individual (waged): | ₤10.00 | |
| Individual (unwaged): | ₤5.00 | |
| Family: | ₤15.00 | |
| Donation (optional): | ||
| Total: |
I/We would be able to help with: (please tick)
| Cycle surveys | |
| Cycle events | |
| Self-help repairs | |
| Office work | |
| Fundraising | |
| Other (please state) |
How did you hear about us?
Name(s):
Address:
Telephone:
Fax:
E-Mail Address:
Signed: ………………………………………….
Date: