Bike Manawatu Membership 2017
This form is for recreational and local club membership
Payment can be made online: 010745028492500 - (please put name as reference) or by eftpos at Palmfeild Motors Tremaine Ave, Palmerston North.
Family - $80 (3 or more)
Adult - $45
Junior - $35
Non rider - $10
Please register one person at a time on this form
If you wish to race formally at any level go to cyclingnewzealand.nz for a race licence.
Confirmation of payment and membership will be given through email.
Any queries contact secretary@bikemanawatu.co.nz
Full Name
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Email
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Contact Phone
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Existing Bike Manawatu Member
Date of Birth
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Emergency contact
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Physical Address
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Preferred Payment method
Do you accept the following terms
In joining Bike Manawatu I hereby acknowledge the risk and hazards involved while participating in club events and activities and do so at my own risk.
Please leave other comments here..
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