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STONE WHEELERS MEMBERSHIP APPLICATION

Please complete the form below to send your application for Stone Wheelers Membership or renewal.

Once you have sent your form, you will receive a confirmation email, with details on how to complete your application and payment.

    Name*:

    Address*:

    Town/City*:

    County*:

    Postcode*:

    Phone

    Email*:

    Date of Birth*:

    Day: Month: Year:

    Are you joining as a Second Claim Member?**:
    **Second Claim members cannot compete for any club trophies or records but can take part in Stone Wheelers training rides and club runs.

    If Second Claim please enter your First Claim Club:

    Additional Message:

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