Eastern Counties Cycling Association
Affiliated to BC and CTTPresident: Peter Beresford
Hon. General Secretary: P. J. Beresford, 20 Reydon Avenue, Wanstead, London, E11 2JD
Telephone: 020 8989 5551
Founded 1910
Application for Membership


The undermentioned Club wishes to apply for membership of the Association and I enclose:

The Annual Subscription Fee (£20.00)

The Club accepts its obligation to provide Marshalling, as allocated by the Association, for any event promoted by the Association.

Signed Hon. General SecretaryDate

Name of Club
Year Founded
Number of Members
CTT District to which Club is affiliated
General Secretary:Name

Address



Post Code
Telephone No

E-mail
Contact for Marshalling:Name

Address



Post Code
Telephone No

E-mail









General Data Protection Regulation 2018

The Eastern Counties Cycling Association will store and use personal data for the purposes of administering the association and member clubs involvement in the association activities. The data will be collected and processed in accordance with the Eastern Counties Cycling Association Privacy Policy which can be found on our website at https://www.easterncounties.org.uk.
I understand that by submitting this form I have read the policy and I am consenting to data being used in this way.