Sporting Tours Loyalty Club application form

SPORTING TOURS LOYALTY CLUB APPLICATION FORM

Send To: 91 Walkden Road, Manchester, M28 7BQ,
United Kingdom

NAME:..............................................................................................

ADDRESS:.......................................................................................

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TEL:........................................................

FAX:........................................................

E-MAIL ADDRESS:............................................................................................
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HAVE YOU TRAVELLED WITH GRAHAM BAXTER SPORTING TOURS BEFORE?......... Yes/No

DO YOU TRAVEL WITH GRAHAM BAXTER SPORTING TOURS ON A REGULAR BASIS?......... Yes/No

HOW MANY TIMES A YEAR DO YOU TRAVEL WITH OURSELVES?.....................................................

ARE YOU A MEMBER OF A CYCLING CLUB?......... Yes/No

IF YES WHICH ONE?.............................................................................................

DO YOU TAKE PART IN CYCLE RACES?......... Yes/No

WOULD YOU RIDE FOR TEAM SPORTING TOURS?......... Yes/No

WHAT INFORMATION WOULD YOU LIKE TO RECEIVE IN OUR MONTHLY NEWSLETTER?

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DO YOU HAVE ANNUAL TRAVEL INSURANCE?......... Yes/No

CYCLE CLOTHING SIZES REQUIRED:
JERSEY: XS / S / M / L / XL / XXL SHORTS: XS / S / M / L / XL / XXL

Please find enclosed a cheque for £100 which covers my annual membership of the
Graham Baxter Sporting Tours loyalty club, which will be valid up to 31st October 2007.

SIGNED:..................................................................... DATE:.....................................