CYCLEWight Online - New Member Application or Renewal - PLEASE use this form and do not apply/rejoin by any other method
You can apply to join CYCLEWight or renew your membership via this form and then use Internet Banking to pay online using BACS to;
Sort Code: 30-95-99 Account Number: 01247732

Please put YOUR NAME as a reference on the BACS payment so we know who it's from!

By completing this form you give CYCLEWight permission to securely hold your data for the purpose of conducting your membership and sending you renewal reminders and periodic Newsletters only and for no other purpose. If you accept this, please fill out the form

The Membership Secretary will then add you to the CYCLEWight record of members

Title *
Your answer
Init *
Your answer
First Name *
Your answer
Surname *
Your answer
Address 1 *
Your answer
Address 2
Your answer
Village
Your answer
Post Town *
Your answer
County *
Your answer
Post Code *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Email *
Your answer
Amout Paid *
Now please pay online
Your answer
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