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Post by fbrucef on Jan 6, 2012 18:31:17 GMT -6
It is the time of the year to renew or start for the first time your membership with Pennyrile Area Cyclists. Membership application and renewal form can be found on the home page of this web-site by clicking on the Membership Application on the left side of the home page. Hope you come on out and enjoy great friends, good rides, fresh air, and fun exercise.
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Post by fbrucef on Jan 6, 2012 18:33:54 GMT -6
Pennyrile Area Cyclists MEMBERSHIP APPLICATION
Print this membership, fill it out, and sign it. Mail both with your check (non-refundable) to: PENNYRILE AREA CYCLISTS / PO BOX 651 / MADISONVILLE, KY, 42431
______New______Renew (Check One) Date___________________ Name______________________________________________________________ Address____________________________________________Apt#____________ City/State _____________________________________Zip ___________-______ Birthdate ______________ Phone(hm)________________(cell)_______________ E-mail____________________________________________________ Cycling interest(s) (Check all that apply) _____Mountain_____Road______Casual Riding_____Touring_____Racing Type of Membership (Check One) _____$12.00 Individual membership______$18.00 Family membership Dues to be prorated for new members who sign up during the year. (Family include spouse& dependent children- list names and birthdates) _________________________________________________________ _________________________________________________________ _________________________________________________________ ________________________________________________ Are you a League of America Bicyclist Member? ______Yes______No If Yes, What is your Membership #__________ Pennyrile Area Cyclists(PAC) is organized for the sole purpose of providing its members with notification of central meeting points and times. Members freely elect to ride together as a group, following a route of choice. In signing this form for myself and/or family members I understand and agree to absolve PAC and its organizers or sponsors of all blame for any injury, misadventure, harm, loss or inconvenience suffered as a result of participating in any ride or activity associated with or sponsored by the PAC. I further understand that I, as an individual am responsible to abide by all traffic laws and regulations governing bicycling and take full responsibility for my actions.
SIGNATURE ___________________________________________________________DATE____________________________
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