Online Membership application

If you would prefer to fill in a paper form then click here

By applying for membership you agree with the following:
Cycling can be a potentially hazardous activity and you accept that the club cannot be held responsible for any personal injury, accident, loss, damage or public liability. Ride at own risk. Under 16 must be accompanied by their responsible adult.
The club uses photography/video from the rides and events for possible inclusion in our publications, website and other publicity material.
You agree with the club’s Constitution and Privacy Statement

Membership Type
£8 for one person£15 for one household

Method of payment
Cheque made out to '1066 Cycle Club', sent to Mrs P Broad, Apple tree cottage, Pett road, Pett, East sussex, TN35 4HGElectronic payment. Please put your name as the payment reference. Account 81412779 , Sortcode 40-09-27

Your Name

Address

Home phone

Mobile phone

In the unlikely event of an emergency situation while on a ride organised by 1066 Cycle Club, the club will attempt to contact the person(s) below. There is no obligation to give this information, although we encourage you to do so. Any information you provide will be made available to our team of ride leaders, and to our membership secretary.

If the membership is just for yourself then skip down to the bottom of this page
For a Household membership, please give details of the second person...
2nd person's name

2nd person's Mobile phone

2nd person's Email

2nd person's Emergency contact details