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ACTC Membership Application
For New Membership and Renewals

 

The Almaden Cycle Touring Club is a group of cycling enthusiasts with a wide range of abilities. Emphasis is on group fun and safety, with a variety of bicycling events. A newsletter is published each month with a schedule of rides and club announcements.

Dues are $20.00 per year for an individual and $25.00 per year for a family. If first class delivery of the newsletter is required please remit an additional $12.00 per year for postage. If you prefer to get the Black and Blue Bottom newsletter online and do not want to receive a printed copy please check the appropriate box on your application.

To apply for membership of the Almaden Cycle Touring Club, or to renew your current membership, complete the form below and press the Submit button. To make any changes to a current membership or with other questions, contact the membership chairperson at membership@actc.org.

Your Information (Required)

Type of Application Number of Years Payment Method

First        Last 

Street address

City    State    ZIP

Primary E-mail (to confirm your registration)  

Confirm your Primary E-mail (must match)       

Telephone w/area code: Home          Work    

Emergency Phone Number (Not 911)  

For Family Memberships Only

Name of Spouse or Significant Other: First Name  Last Name

Children Names


Other Options

The monthly Newsletter is available online or, when requested below, is sent to by mail. If you request to receive by bulk rate (3rd class) postage there is no additional charge. If you wish to receive by First Class Postage there is an additional $12 a year charge..

Newsletter Delivery

Additional Email Addresses (if you will be using them to subscribe to email lists)

2nd E-mail  

3rd E-mail  

4th E-mail  


Release and Waiver of Liability (Required)

Please read the waiver carefully: (version for printing)

.


Comments for Membership Chair (please do not use quotation marks or tabs, as these confuse our database)


Submit Application

Before clicking the Submit button below, you may wish to print this page for your records.

  Important: You must click on the Submit button after filling in these fields or your information will not be sent!