Cycling Opportunities Group Salisbury

Enter COGS member(s) details in the form below.

If a member at the same address requires separate emails please complete one form for each applicable email address.

When you send us your details they will be held in line with COGS Privacy Policy (opens in separate window).

Please indicate below how you anticipate paying for membership. Possible options are:

BACS Lloyds Bank, account name: COGS Cycling Opportunities Group Salisbury,
Sort code 30 98 97, Account number 54715260.
In the “reference” field, please use your full name.

CHEQ Please make payable to “COGS” and write your name on the back if it’s not obvious from the account name. Address for payments by cheque is:
COGS Membership Secretary, Woodruff Cottage, Hale, Fordingbridge SP6 2NQ

CASH Please do not send cash in the post, hand it in person to either Rob Jacobs or Paula Downard

COGS membership costs £5 p.a. (£2 children/unwaged): additional contributions to COGS Cycling Development Fund are always very welcome.

* indicates required

Email Address *

Email address you wish COGS to use

Title

Preferred title (e.g. Mr/Ms/Mrs/Dr etc) - optional

First Name *

First name

Last Name *

Last name

Other names (partner with same email, or child)

Partner with same email, or child

Address 1 *

1st line of address - required

Address 2

2nd line of address

Town *

Town/City

Postcode *

Postcode

Phone number

Mobile numbers(s)

Mobile phone number

Bike shop consent *

I am happy for my name & postcode to be included on a list sent to local cycle retailers for them to apply a discount
Please do not pass my name & postcode to participating retailers

Preferred Payment Method *

BACS
CHEQ
CASH

COGS membership costs £5 per year (children/unwaged £2), additional donations are always very welcome

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COGS Membership Application or Renewal N.B. Don't forget to pay your subscription by the method you have chosen!

COGS Membership Application or Renewal

N.B. Don't forget to pay your subscription by the method you have chosen!