Membership form

Submitted by Anonymous (not verified) on Sun, 28/01/2024 - 20:44

 

Leeds Cycling Campaign charges a flat-rate subscription of £8 per member, regardless of how you pay or whether you are single or part of a family or couple.  Two waged adults at the same address can still join at the same time by making a single payment of £16 - in this case you must indicate the name of the second adult when you complete the form.  There is no charge for children.

Please complete and submit the web form below.

  1. Fill in your address and contact details.  Please note we will only ever use your information for the purposes of the Campaign - no personal information is passed to a third party.  View our Data Privacy Notice here.
  2. Select your membership type and tell us how you'll be paying using the drop-down menu items
  3. Click the Join button to submit your application, and then (crucially):
  4. Visit our payments page to make your payment.
  5. We'll match up the application with your payment and get your membership pack out to you as soon as possible.

 

If you have any queries, please write to membership [at] leedscyclingcampaign.co.uk

 

Your first name.
Your last name.
The name of any second waged adult living with you who is joining at the same time - you will need to pay £16 in total.
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
Please select "Yes" to receive our Campaign newsletter by email, or "No" if you prefer not to receive it.
Select a membership type.
Once you've clicked 'Join', please follow the link to the payments page. Here you can set up a GoCardless direct debit, make a one-off payment, or find out how to pay by other means.
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