Murfreesboro Bike club

Mail-In Membership Form

To join by mail:

• print a copy of this page and complete and fill in required information,
• print, read and sign waiver,
• make check payable to Murfreesboro Bicycle Club ($40 for individual, or $60 for family),
• mail form, wavier and check to: Murfreesboro Bicycle Club, PO Box 10091, Murfreesboro TN, 37129

Note: Family memberships are limited to two adults (must be over 18).  A form and signed wavier is required for each individual.

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First Name: ____________________

Last Name: _____________________

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Cell Phone:  ____-____-_____

Emergency Contact: ______________________________

Emergency contact phone number:  ____-____-_____