Membership Form

Yearly Membership Fees:

Normal: R300

With Shirt: R700

Full kit: R900

Proof of Payment:
Email to admin@intensebb.co.za or fax to 086 650 5897

Once we receive payment your registration is complete.

Bank Details:
FNB East Rand Mall
Acc: 6229 254 5096,
Branch Code 250 655

You will then be able to buy your yearly Cycling lisence through www.cyclingsa.com. Once you have registered and paid with them, they will send us an email to confirm your membership to Intense Cycling which we will do promptly.

Name *

Surname *

SA Citizen
SA Citizen
Identity Number *

or Passport

Date of Birth

Tel: *

Cell *

Email *

Home Address *

Postal Address *

T-shirt Size

Emergency Contact

Emergency Number

Guardian Name

Guardian Contact Number

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