Please send to the Membership Secretary, Loughborough and District Cycle Users' Campaign, 32 Bramcote Road, Loughborough, Leics. LE11 2SA.
If you have any queries, please feel free to phone us on Loughborough 211468.
I/We wish to join the Loughborough and District Cycle Users' Campaign.
Name(s) ________________________________________________
Address ________________________________________________
________________________________________________
________________________________________________
Postcode ____________
Telephone ___________________________
Email ________________________________________________
Place of work ________________________________________________
| Type | Low Income | Standard |
| Full Member | £1 | £2 |
| Household # | £2 | £4 |
| Commuted membership: Pay 5 years in advance for 6 years membership | ||
|---|---|---|
(Please circle as appropriate)
# several people at the same address.
Please make cheques payable to the Loughborough and District Cycle Users' Campaign.
If you would prefer you can credit our bank account direct - sort code 09-01-55 a/c 95006183. Please email your details to membership@ldcuc.org.uk if you choose this option.
I do not object to the group keeping these details on a computer database, providing they are not released to any outside bodies.
Signed ________________________________________________