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CAMWEST Membership Application
Please complete this form to join or renew your membership with CAMWEST (Cyclists' Action Movement West) Bicycle User Group Inc.
The current membership cost is $10 per person per year.
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* Required
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Address (Unit Number, Street Number, Street Name)
*
Your answer
Suburb/Town Name
*
Your answer
State
*
Your answer
Postcode
*
Your answer
Contact Phone Number (Preferably mobile)
*
Your answer
Membership Category
*
Initial Joining
Renewing
Fee payment method
*
EFT
Other (Please Contact Us to arrange)
Are you a member of Bicycle NSW?
*
Yes
No
Bicycle NSW Membership Number (Optional)
Your answer
I acknowledge that membership of CAMWEST Bicycle User Group Inc does not include personal insurance coverage. Insurance coverage is at the discretion of the individual and can be taken up with either Bicycle NSW or another cycling organisation.
*
Yes
Required
I acknowledge that I understand the obligations of membership as laid out in the CAMWEST Constitution (
https://www.camwest.org.au/docs/Camwest-Constitution-2010.pdf
) document.
*
Yes
Required
Send me a copy of my responses.
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