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