| P O Box 1324 | Contact: |
| Howick | Chairman: Ken Pascoe (082 572 3297) |
| 3290 | Secretary : Steph Rencken (084 577 7713) |
| Download Form (Excel Document) |
Membership Application Form
| Adult member: | R 100.00 |
| Number board (Indemnity) | R 100.00 |
| Junior Member (under 13 yrs) | R 50.00 |
| Number board (Indemnity) | R 50.00 |
| Country Membership* | R 125.00 |
| Total Amount Paid | R ............ |
Please post a cheque (made out to Howick Mountain Bike Club) and
completed application form to the above address. Internet transfers or
direct deposits are to go to: *proof of membership required
Howick Mountain Bike Club (info@howickmountainbiking.co.za) |
Member Details:
| Date: | |
| Surname: | |
| First Names: | |
| Postal Address: | |
| E-Mail: | |
| Phone (Work): | |
| Phone (Home): | |
| Phone (Cell): | |
| ID Number: |
Club Use:
| Payment Received: | |
| SAPPI Indemnity number: | |
| Board number: |