CAMWEST Membership Application

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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.

Email *

First Name *

Last Name *

Address (Unit Number, Street Number, Street Name) *

Suburb/Town Name *

State *

Postcode *

Contact Phone Number (Preferably mobile) *

Membership Category *

Initial Joining

Renewing

Fee payment method *

PayPal / Debit or Credit Card

EFT (Transfer funds to CAMWEST account)

Other (Please Contact Us to arrange)

Are you a member of Bicycle NSW? *

Yes

Bicycle NSW Membership Number (Optional)

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.

Submit

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