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Southampton Cycling Campaign Membership Application

Join us and help make a difference!

Please print out this page, fill it in and return with your membership fee to Southampton Cycling Campaign Membership, 39 Swift Road, Woolston, Southampton, SO19 9FP (Cheques payable to Southampton Cycling Campaign).

Alternative form versions: [Word doc] [pdf]

Membership application
Name
Address
Postcode
Telephone
Email
Annual fee (please circle) — £10 Waged / £5 Unwaged

Please return this form with your fee to SCC Membership Secretary,39 Swift Road, Woolston, Southampton, SO19 9FP

Cheques payable to Southampton Cycling Campaign, please.

* Membership includes discounts from some cycle shops.

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