Stirling Bike Club Student Subscription

Please complete all the fields and ensure the email address you enter is valid as this is used to confirm your Membership and to activate your account.

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Username*

Password*

Retype Password *

First Name *

Surname *

Date of Birth (dd-mm-yyyy) *

Address *

Town *

Phone Number *

Post Code *

Email *

Any medical or disability information we need to be aware of, if so please let us know here

My main type of cycling is *

Mountain Biking

Road Biking

Gravel Riding

Cyclocross

Track

Bike Packing/Touring

BMX

Enduro/Down Hill

I also like...

Mountain Biking

Road Biking

Cyclocross

Gravel

Track

Bike Packing/Touring

BMX

Enduro/Down Hill

Name of Emergency Contact

Emergency Contact Number (ICE) *

British Cycling Number (if applicable)

Payment Information

Price

Payment Method *

Paypal (you don't need a paypal account to pay this way)

Pay by Cheque, Cash or Bank Transfer (Details emailed once you hit the Process Subscription button)

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Terms and Conditions *

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