MEMBERSHIP APPLICATION
Membership Expires Annually on May 31
Name _____________________________________________
Address ___________________________________________
City _______________________ St _____ Zip ___________
Home Phone: ( ______ ) __________________________
E-mail ___________________________________________
Type of annual membership desired:
[ ] $7 - Junior (12 – 18)
[ ] $14 - Adult + $1/each additional family member
[ ] $___ - Donation to the Brandywine Bicycle Club
[ ] New member [ ] Renewal
Check# _______ Date ________
Membership dues run annually from June 1 to May 31.
Contact BBC’s Treasurer if you have questions about membership.
Please send membership application and check to:
Brandywine Bicycle Club
P.O. Box 3162
West Chester, PA 19381
