NSCR Membership Form

Club Membership

*Club Name:

*Address:

*Tel:

Fax: E-mail:

*Studio co-ordinator:

*No. of classes per week:

*Level of classes (if applicable):

*Bikes: No. Of:

Makes of:

*Only these details will be placed on the website www.internet-spinoffs.com

Please list Instructors to be registered:

Background details for our records only

Are you interested in holding an upgrade/refresher course? (see list enclosed) Yes/No

Or another Phase of Studio Cycling training: Yes / No

Please state Phase number 1 > 3:

Please state who you would like future correspondence to be addressed to:

I enclose a cheque for £50.00 made payable to: NSCR

Signature: Date:

Please let us know if any of these details change.