Cycling Geelong Membership Application Form
Prospective new members please fill out this form. Details will be sent to you, via email, of how to pay your membership subscription.
Cycling Geelong Members at a recent Barwon River ride
First Name *
Your answer
Family Name *
Your answer
Address (Street number and name) *
Your answer
Town *
Your answer
Postcode *
Your answer
Contact details
Please supply at least one phone number
Mobile Phone number
Your answer
Home Phone number
Your answer
Email Address
Your answer
Membership Category *
Cycling Geelong Purpose and Objectives *
Cycling Geelong Rules *
Photographs are taken on rides and club events for the Cycling Geelong website and Facebook page etc.
If you do not wish to have your photograph taken for club use, please ensure that you tell any photographer this, and make sure you are not in group photographs.
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