Membership form

On 1 July 2017 Leeds Cycling Campaign introduced a simplified membership structure.  We now charge a flat rate subscription of £7 per member, regardless of how they pay.  Two waged adults at the same address can still join at the same time by making a single payment of £14 - in this case please indicate the name of the second adult.  There is no charge for children.

Please complete and submit the web form below.

  • Fill in your details, and be assured we'll only ever use your information for the purposes of this campaign - no personal information is passed to a third party. EVER.
  • Select your membership type and tell us how you'll be paying using the drop-down menu items
  • Click the Join button to submit your application.
  • Visit our payments page to process your payment.
  • We'll tally up the application with your payment and get your membership pack out to you ASAP.

 

Please send any questions to membership [at] leedscyclingcampaign.co.uk

 

Your first name.
Your last name.
If applicable, the name of any second waged adult living with you who will join at the same time.
First line of your address, e.g. 25 Main Road
Second line of your address, e.g. Rothwell
Your post code, e.g. LS20 1AB
Home phone number.
Mobile telephone number.
Your email address
Select a membership type.
Once you've clicked 'Join', please follow the link to the payments page. You can set up a standing order, use PayPal, make a bank transfer, or send us a cheque.
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