Membership | Chester Cycling Campaign

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One-time Annually

A customer account is created automatically for recurring payments. Account setup info will be emailed to you.

You can log in to edit your recurring payment any time

£10
Individual Membership
£5
Unwaged/Student Membership
£15
Family Membership
£25
Corporate Membership
£100
Life Membership
£
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First Name

Last Name

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Address

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Type of Membership

Renewal of Existing Membership

New Application to Join the Campaign

Is this a Family Membership? If so, please list family members below to enable membership cards to be issued for them.

Yes

Family Members

Preferred Contact Method

Post

Telephone

For data protection purposes, please indicate that you agree to the above information being placed on an electronic database for Campaign purposes only. Note that your privacy is guaranteed. We will not share your personal details with anyone else.

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How Did You Hear About the Chester Cycling Campaign?

Chester Cycling Campaign Website

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Social Media

Cycling matters! Newsletter

Local Press

Local Event

Other

Not Applicable (Membership Renewal)

If Cycling Matters! Newsletter, where did you get your copy?

If applicable, please tell us where you got your copy of our Cycling Matters! newsletter, so we can improve our distribution arrangements. Click on the line above to enter your answer.

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