MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C74156.D0641000" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C74156.D0641000 Content-Location: file:///C:/A214CAAD/web_Application_Form.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Carlow Road Cycling Club

Carlow Road = Cycling Club

 

 

Application for membe= rship:

 

 

Name:   = ;           ______= _______________________________

 

 

Address:  &n= bsp;        _____________________= ______________

 

   &nbs= p;                &= nbsp;   ____________________________________

 

   &nbs= p;                &= nbsp;   ____________________________________

 

Mobile Phone No. __________= ______________________

(Please supply a mobile number. This is used to communicate meetings, etc.)

 

Email: _____________________________________

 

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Affiliation t= o Associations: (please tick which affiliation you hold / intend to hold)

 


Cyc= ling Ireland …………………..            =       Please submit C.I. application / Fee (Includes Personal/Third party Insurance)

 


IVCA…………………&= #8230;………..        &= nbsp;        Member makes own arrangements

 

 


Triathlon Ireland……..…&= #8230;……..        &= nbsp;          Member makes own arrangements

 

 


Other……… (Please specify)…R= 30;..        &= nbsp;        ____________________= ____________

 

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  • Please submit this form and the current annual fee of  €10 to the Carlow Road Cycling Club Secretary. (“An Spideog”, Ballycrogue, Carlow)

 

  • If you wish to join Cycling Ireland (recommended for insurance purposes) please also submit the relevant application and fees for membership ty= pe chosen, or apply online at www.cyclingireland.ie<= /span>

 

  • All “Cycling Members” are requested to have Personal/Third party Insurance

 

www.carlowcycling.org

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