Thames Mountain Bike Club

Thames Mountain Bike Club

Application Form
Full Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone

Area Code Phone Number
Mobile Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Email
example@example.com
I am interested in and I can assist with: (optional)

Urban Rides XC Rides Competitive Rides Text Contact
Fees

Our club membership runs from January 1st - December 31st. Pricing below is for full 12-month period. If you are wanting to join after July 1st, please apply 50% discount when making payment.
- 1st Adult $25, subsequent adults $20
- 1st Youth $15, subsequent youth $10
- Family $50 (Must reside at same address)
Membership fee's may be paid by cash or internet banking, If paid by internet banking, Please put your surname details in the particulars for the online transfer internet banking account No:06 0457 013962700
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