Victorian Bicycle Coalition Inc.
Membership form
NAME OF GROUP
CONTACT PERSON
ADDRESS
PHONE (home) (business)
FAX:
E-MAIL
PAID-UP MEMBERSHIP OF GROUP
Membership costs $1 per paid-up member of your group up to 50
members and is negotiable for larger groups.
Please send completed form to:
The acting Secretary, John Harland
Victorian Bicycle Coalition
16 Jervis St
Burwood, Vic 3125
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