Join Now | Burg Wheelers Cycling Club

Pietermaritzburg - Hilton

info@burgwheelers.co.za

072 100 9936

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Join Our Club .

Burg Wheelers Cycling Club
Membership Application

Please complete and submit the membership application form below:

Name *

ID No *

Telephone (w)

Cell

Email Address *

OTHER FAMILY MEMBERS

Second Member

Name

ID Number

Contact Number

Third Member

Name

ID Number

Contact Number

Fourth Member

Name

ID Number

Contact Number

Fifth Member

Name

ID Number

Contact Number

Do you ride?

RoadMTBGravelTrack

MEMBERSHIP SUBSCRIPTIONS:

(Jan to Dec 2024)

Annual

Ordinary member	R600
Junior member (persons under the age of 18 years)	R190
Family membership (husband and/or wife and/or children under the age of 18 years, all living at the same address)	R900
Country member (members living outside a 50km radius of PMB City Hall)	R300

New members ...

Annual subscriptions shall be reduced by 50% in respect of applications submitted after 1 July in each year Pro rata amounts, for the months August to December but to include Annual subscriptions for 2025:

Ordinary member	[August: R250. September: R200. October: R150. November: R100. December: R50] +R600
Junior member	[August: R75. September: R60. October: R45. November: R30. December: R15] +R180
Family membership	[August: R375. September: R300. October: R225. November: R150. December: R75] +R900
Country member	[August: R125. September: R100. October: R75. November: R50. December: R25] +R300

TOTAL PAID =

I would like to be added to the Burg Talk Newsletter email Distribution list.

INDEMNITY

In completing this form I hereby indemnify Burg Wheelers Cycling Club (the 'club'), including its committee members, race officials and agents, against all liability, thus releasing those persons from any claims which I or my dependents or heirs may otherwise have arising from my participation in club cycle rides, races or activities, whether or not negligence is established. I acknowledge the inherent risks in cycling and the dangers associated with it, whether through traffic, terrain or physical exertion. I personally accept the risk of possible damage or injury during all periods in which I remain a member of the club.

Membership fee to be paid into Burg Wheelers’ bank account (details below.)

Account Name:	Burg Wheelers Cycling Club
Bank:	ABSA Bank
Branch Code:	632 005 (Chatterton)
Current Account No:	711328599
NB:	Proof of Payment + Membership Form must be sent to: mwmoiras@iafrica.com
Reference:	Name + Subs / Kit

Club Kit is available from Nicky Portela on nportela901@yahoo.com
Online CSA Licence Applications available at www.cyclingsa.com

Any queries please contact Moira Sherwood at mwmoiras@iafrica.com or 072 100 9936

Road & MTB Rides
Pietermaritzburg – Hilton
info@burgwheelers.co.za
082 570 0851

Upcoming Events.

All
MTB Race
Road Race

Euro Steel Drak Descent in Sani Pass

MTB Race

KZN Road and Time Trial Championships: 6 & 7 July 2024

Road Race

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