|
|
| Home
| Join | Officers | Rides
| Links | For
Sale |
Please
print form, fill out and mail
Decatur Bicycle Club Membership Application Form
|
Check one _____New Membership
_____Renewing |
Make
check payable to:
DECATUR BICYCLE CLUB |
||
|
Membership Application _____ Individual $10.00 _____ Family $15.00 |
Signatures of All Applicants Involved
__________________________ ________ __________________________ ________ __________________________ ________ __________________________ ________ __________________________ ________ __________________________ ________ __________________________ ________ |
||
|
Address _______________________________
City___________________________________
State & Zip_____________________________
Phone(__________)______________________
Email Address___________________________ |
|||
|
Disclaimer: In signing this form, I understand and agree to absolve the Decatur Bicycle Club, Inc., it's members, and it's officers of all blame for any injury, misadventure, harm, loss, or inconvenience suffered as a result of taking part in any activity sponsored or advertised by said organization. |
|||
If
other members in the household would like to receive the Club Newsletter or
other
mailings, please list the e-mail addresses below
____________________________________________________________________
____________________________________________________________________
Copyright 2001 Decatur Bicycle Club, Inc. |