Membership form

Just 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.
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, or send us a cheque.
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