Using your browser, print this form, complete it and mail it
to:
NWBicyclist.com
P.O. Box 535
Lancaster, PA
17608-0535
Yes, I want to support the club by becoming a
member. Enclosed please find my check for $12.00 (one per household)
made payable to the Lancaster
Bicycle Club.
New Member__________ Membership
Renewal___________
Name:_______________________________________________
Address:_____________________________________________
City:________________________________________________
State & Zip:___________________________________________
Phone:______________________Occupation:________________
E-mail:_______________________________________________
Names & ages of family members:__________________________
____________________________________________________
____________________________________________________
Please indicate your interest by checking as many boxes as
apply:
(__) Leading Rides, Pace (____)(A, B, C, or D)
(__) Officer or
Board Member
(__) Rides Committee
(__)Social Events (Meetings, Picnic,
X-mas party, etc.)
(__) Publication of Newsletter
(__)Covered Bridge
Metric Century
(__) Updating Rides
(__)
Other_________________________
