Kiama BUG Membership 2021/2022
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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Name *
Address *
Contact Email *
On-ride phone number *
Emergency Contact Name *
Emergency Contact Number *
I have paid my Kiama BUG Membership Fee *
Pay by Direct Bank payment, as per info on the Kiama BUG Website > Membership
I am a member of Bicycle NSW *
Bicycle NSW membership includes personal accident and public liability insurance.
Bicycle NSW Membership Number
This number can be found in email correspondence from BNSW, your membership card in your Apple Wallet, or by contacting BNSW on (02) 9704 0800, or info@bicyclensw.org.au
Bicycle NSW Membership expiry date
If you have recently renewed (or auto-renewed) your BNSW membership expiry will be 30th June 2022. (Depending on your browser / computer settings, this may appear in US format - MM/DD/YYY)
MM
/
DD
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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.
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