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To join Merseyside
Cycling Campaign - print out this form and post it (completed)
to: Carol Fitzpatrick
MCC
Membership Secretary
18 Shrewsbury Road, Oxton, Birkenhead,
Wirral CH43 1UX
FULL NAME ...................................................................................................
ADDRESS
......................................................................................................
......................................................................................................................
.................................................................
POSTCODE .................................
PHONE
NO ....................................................................................................
E-MAIL
..........................................................................................................
There is no charge for membership of the Merseyside Cycling Campaign.
However, the campaign relies on donations of time and money.
If you have the time to help with campaigning or the administration of the campaign please let us know what you would be able to do, or contact us for suggestions!
Yes, I'd like to help the campaign by .........................................................................
...................................................................................................................
...................................................................................................................
Yes, I'd like to provide funding for the campaign and I enclose a cheque made payable to - Merseyside Cycling Campaign for £...........
[ ] Tick here if you DO NOT want your details
to be kept on our computerised database - for our use only.
THANK YOU
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