Membership Application

Parental Consent Form (to be completed parents of under 18 year olds)

New Members Free

Seniors £10.00 (New members free)

juniors £5 (New members free)

Juveniles Free

Name.........................................................................

Address.....................................................................

.....................................................................

.....................................................................

Post Code.................................................................

Date of Birth _ _ / _ _ / _ _ _ _

Signed.......................................................................

Telephone No...........................................................

Email.........................................................................

Website: www.manxroadclub.com

email: info@manxroadclub.com

Return to:

Jackie Kennaugh, 36 Copse Hill, Douglas. IM2 1NE

Racing licences and BC membership can be purchased through British Cycling

Win £30 every Saturday

Numbers available are listed as 'Manx Road Club' come on give it a go! See web site for details

Simply send a cheque for £52 payable to the Manx Road Club or by standing order and return it to treasurer Jackie Kennaugh, 36 Copse Hill, Douglas.

Have fun and good luck