Name:__________________________________________Age:______

Address: _________________________________________________________

Phone: ___________________________________________________________

Family members and ages: _________________________________________

Please find enclosed $10.00 for:-

Membership:- Family____Couple_____Individual_____Business_____

Organisation_____Club_____(Cross out which does not apply)

I wish to make a donation of $ ___________________________________________

I wish to become a volunteer for CBUG. Yes ___________No ______________

Volunteers are necessary for the success of CBUG to achieve it's goals
Please contact our Reports Officer, Lenore Evans, 17 Gordon St, Earlville, Cairns 4870. Ph 4054 1756

I use my bike for:- Leisure _____________ Getting to work _______________

Other Transport _____ Fitness ______ Sporting Club ______

I am a business providing a service for:- Cyclists ___________

People with disABILITIES ____The elderly and infirm ____ Youth activities ____

My business is:- Accommodation __________ Information ___________

Sport __________Bike Shop __________Other ___________

Businesses that support CBUG are listed on our website at http://www.cairnsbug.org

Signed:-________________________________Date:___________

Members are encouraged to join Bicycle Queensland:- 1. Free third party insurance. 2. 6 Australian Cyclist magazines and Bicycle Queensland newsletters per year. 3. Free public liability insurance for Bike Week activities. Support the organisation that looks after us. http://www.bq.org.au

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