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Rockingham Forest Wheelers Membership Form
Applicant's Personal Details
*
Indicates required field
Title
*
Mr
Ms
Mrs
Miss
Name
*
First
Last
Please enter forename and lastname. Use the name that you would like to be known by, it doesn't have to be what is on your passport.
Gender
*
Male
Female
Date of Birth
*
Please use DD/MM/YYYY format
Main Email
*
Alternative (Work?) Email
*
Preferred Phone
*
Mobile
Home
Work
Mobile
*
Home
*
Work
*
Address line 1
*
Address line 2
*
Town/City
*
County
*
Postcode
*
Country (if not UK)
*
Emergency Contact
We need to have a contact point to inform in the case of an emergency.
Emergency Contact Name
*
Relationship to Person Applying for Membership
*
Emergency Mobile No
*
Emergency Alternative Phone No
*
Contact Address Line 1
*
Enter 'Same as member' if appropriate.
Contact Address Line 2
*
Contact Address Postcode
*
Club Membership
Membership Type and Fees
Other Club - Please give details of all cycling clubs/teams you have been a member of in the last 12 months (or 'None').
*
Your membership of FRW needs to be either First Claim if the RFW is your main team, or Second Claim if RFW will be a secondary team for you.
Member Claim Type
*
RFW as First Claim (your main club/team)
RFW as Second Claim (a secondary club for you)
Your membership of FRW needs to be either First Claim if the RFW is your main team, or Second Claim if RFW will be a secondary team for you.
If you belonged to a British Cycling affiliated club before, and now want to join RFW as a First Claim, you MUST have formally resigned from your previous club. By submitting this form you are confirming this.
This Application is for me as...
*
... an Individual Adult
... part of a Couple/Family
... an Individual Juvenile or Junior
If joining as a couple, both partners must separately complete one of these forms, and name the other partner below.
*
Only one payment please to avoid confusion over who has paid what!
Prices are
£15 for Adult - First Claim
£7.50 for Adult - Second claim (if already member of another British Cycling club, which you must name in the box above left)
£25 for a Couple/Family
£5 for Juniors (under 18)
Juveniles (under 16) are free
Please pay by sending the correct amount to our bank account, describing the transaction using '
NEW yourname
'.
Our account details are
Sort Code =
40-26-07
Account No =
61871005
Press to Join the Rocko
Home
Contact
Interested in Joining?
Cycle Club FAQs
Join Rocko 2023
Club Rides
Club Routes
Time Trials
Time Trial Archive
>
2015 TT Results
2016 TT Results
2017 TT Results
Time Trial Reports
Off-Road
Rocko Ladies
Rocko Members
Rocko Calendar
Club Rules
Members Kit
Website Use
Twinning
Useful Links
Renew Rocko 2024