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8/8/2019 Club Membership Forms
1/2
[email protected] Tel.# 551-9498 Pilot Offfice , mailing address : 5138 Filmore St. Palanan, Makat City.
APPLICATION FOR CYCLING CLUB AFFILIATION 2011
Name of Club / Association _________________________________________________________________
Mailing Address _________________________________________________________________Contact Numbers _______________________________ Mobile#_________________________
CLUB OFFICERS : Name Date of Birth
AddressPresident _____________________________________ ____________
____________________________
Vice President _____________________________________ ____________ ____________________________
Secretary _____________________________________ ____________ ____________________________
Treasurer _____________________________________ ____________ ____________________________
Auditor _____________________________________ ____________ ____________________________
PRO _____________________________________ ____________ ____________________________
Cycling Club/ Association members:
NAME SEX AGE Date of Birth ADDRESS Cycling
Event
123456789
101112131415
( Use extra sheet if necessary )
We understand that an affiliation fee for Four (4) years in the amount of 1,000.00 shall be paid infavour of the PHILCYCLING Integrated Cycling Federation of the Philippines. Upon approval of thisapplication.
We understand further that the approval of this application binds our CLUB / ASSOCIATION with thefederation and therefore we shall abide the CONSTITUTION and BY-LAWS, and the RULES andREGULATION of the PHILCYCLING (Integrated Cycling Federation of the Philippines).
Certified by: Noted by:
___________________________________________ ____________________________________________________Club / Association Secretary Club / Association President
Endorsed by: Recommending Approval:
______________________________________ ______________________________________________PHILCYCLING Provincial Chairman PHILCYCLING Regional Vice President
8/8/2019 Club Membership Forms
2/2
[email protected] Tel.# 551-9498 Pilot Offfice , mailing address : 5138 Filmore St. Palanan, Makat City.
PHILCYCLING ( Icfp ) MC Entry no. _______________ DATE __________________________2011