Manx Triathlon Club Membership Form
1st January to 31st December 2023

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* 1. Address

Name

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Mobile Number

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* 2. Date of birth

Date

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* 3. Age as at 31st December 2023

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* 4. Are you a member of BTF?

Yes (please enter your membership number below)

BTF Membership number:

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* 5. Please tick which membership option you would like:

Standard membership - £40

Premium membership - £60 (includes entry to May solo event upon completion of entry form)

Social membership - £5

Payment to made via BACS to the following account:

Account Name: Manx Tri Club

Sort Code: 55-91-00

Account No. 85442453

Ref: (Your name e.g. Mr J Bloggs)

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* 6. Confirmation of payment

I can confirm that I have made a payment via BACS to the above account

If you have any queries, please email: manxtriclub@outlook.com

The committee of the Manx Tri Club reserves the right to refuse any application for Membership.

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100% of survey complete.

Manx Triathlon Club Membership Form1st January to 31st December 2023

Question Title

* 1. Address

Question Title

* 2. Date of birth

Question Title

* 3. Age as at 31st December 2023

Question Title

* 4. Are you a member of BTF?

Question Title

* 5. Please tick which membership option you would like:

Question Title

* 6. Confirmation of payment

Manx Triathlon Club Membership Form
1st January to 31st December 2023