Please complete the following form to sign up for membership of the Eastern Veterans Cycling Club:
When done, click the 'Create Printable Form' button to create a printable version (Licence Application Form)
Note: DO NOT PRINT THIS PAGE - PRINT AND SEND THE LICENCE APPLICATION FORM GENERATED AFTER CLICKING THE 'Create Printable Form' BUTTON AT THE BOTTOM OF THE PAGE.
Print and send the Licence Application Form to:
| Mr John Macleod |
| 21 Toppings Rd |
| Wonga Park Vic 3115 |
Note: This form must be completed in full or a licence will not be issued. 2010 fee is $140.00