Leeds Cycling Campaign Membership

Couples Membership

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Go back to the form for couples membership with direct debit.

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Couple Membership

New/Renew Membership
Two adults at the same address can join at the same time by making a single payment of £16.
If you would like to make an optional donation, please enter an amount below.
Total Amount
Tell us about the other person this membership covers.
Shared Member Details
Payment Options
 
[x] Instructions on how to pay will follow with your confirmation message.
Billing Name and Address
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Contact Details
Mailing List
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