Select membership type (circle your requirement)
| Type | Single | Family |
|---|---|---|
Life Membership (no need to pay each year) |
$30.00 | $50.00 |
Single Year (renewals required each year) |
$5.00 | $10.00 |
Member Details
| First Name | |
| Surname | |
| Address | |
| Telephone | |
| Email - Use for Newsletter Y/N | |
| Member Bicycle NSW? | Y/N |
| Include Details On Secure Web Page | Y/N(As an aid to communications members will be able to have their details stored on a secure members only area) |
Ride Preferences(Indicate what type of cycling you would be interested in)
| Type | Road Touring | |
| Off Road | ||
| Muti Day Rides, Camping | ||
| Muti Day Rides, Non Camping | ||
| Easy | Gentle pace and terrain up to 25 km per day | |
| Easy/Medium | Some hills up to 40km | |
| Medium | Faster pace, Up to 50km | |
| Medium/Hard | Up to 100km at a brisk pace | |
| Hard | Up to 150km at a fast pace | |
| Other |
Other Comments you may wish to make