Push Bikes Membership Application Form

Please print this form & post to:
   PushBikes
   54-57 Allison street
   BIRMINGHAM B5 5TH

Your details
Name(s)
Address
Post code
Home telephone
Mobile telephone
Work telephone
Email address

I/we* enclose one year's subscription:
Subscription	Individual, waged: £11.00 Individual, unwaged: £5.50 Joint/Family: £14.00
Voluntary donation	(optional)
TOTAL
Signature
Date

I heard about Push Bikes from
I/we* would like to help by:	Letter writing Helping on Push Bikes stall Organising activities for Bike Week Reviewing plans Writing articles for Newsletter Setting up a Bicycle User Group Leading rides Assisting with Newsletter Newsletter/leaflets distribution Newsletter stuffing Other

Please click to print this form then click Standing Order form.

Can be downloaded or viewed as a pdf. Members can have the newsletter emailed or a printed version posted to them.

At the Warehouse, 54-57 Allison Street, Digbeth. All cyclists are welcome.

Enter your details into the form, click print and send the hard copy to:
Push Bikes
54-57 Allison street,
BIRMINGHAM B5 5TH

Members can pay by cheque or standing order.

Cheques should be made payable to "Push Bikes" - two words!

A standing order is usually simpler and you don't have to remember to send a cheque each year.
Click to go to the Standing Order form.

Enter you details into the form and print it from your browser a& send it to PushBikes.