Membership

FIRST Name *

LAST Name *

EMAIL Address *

PHONE Number

Did someone refer you or suggest a Cycle 16 membership to you? *

Yes

No

If YES, please tell us their name:

Where do you live?

Telkwa

Smithers

OtherOther

OPTIONAL - Mailing Address

City

State/Province

Zip/Postal

Country

I am interested in using the trail between Telkwa and Smithers for

Fitness

Recreation

Commuting to Work

Other (check to fill in more info)Other (check to fill in more info)

check all that apply

I would like to receive club correspondence by email

YES

NO

I am interested in volunteering to support Cycle 16 Trail Society

YES

NO

MEMBERSHIPS

I'd like to purchase a "lifetime" membership *

$15 INDIVIDUAL membership, or

$20 FAMILY Membership

FAMILY MEMBERSHIPS

FAMILY MEMBERSHIP Total # of people including yourself.

Use your keypad to type a number here (#s only in this field). This helps us keep track of total member count for funding & reporting purposes.

Add the names of any ADDITIONAL family members here (besides yourself). Do not re-enter your own name again.

FIRST Name (additional family member 1)

LAST Name (additional family member 1)

OPTIONAL - EMAIL Address to receive announcements (additional family member 1)

FIRST Name (family member 2)

LAST Name (family member 2)

OPTIONAL - EMAIL Address (family member 2)

FIRST Name (family member 3)

LAST Name (family member 3)

OPTIONAL - EMAIL Address (family member 3)

FIRST Name (family member 4)

LAST Name (family member 4)

OPTIONAL - EMAIL Address (family member 4)

FIRST Name (family member 5)

LAST Name (family member 5)

OPTIONAL - EMAIL Address (family member 5)

How would you like to pay? *

BY CREDIT CARD: Credit Card via Paypal (NOTE: you do NOT need to have a paypal account to use this option. Just click the GREY BUTTON "Pay with a credit or Visa Debit card" near the bottom of the Paypal screen when it appears.)

BY eTRANSFER: to info@cycle16.ca

BY CHEQUE or CASH: dropped off to any of the following Smithers / Telkwa locations: Local Supply Company • McBike & Sport • Dan’s Source for Sports • Nature’s Pantry • Tyhee Market in Telkwa

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Why become a member?

To sign up ONLINE

To sign up IN PERSON

MEMBERSHIPS

FAMILY MEMBERSHIPS