All fees must be processed through our online Banking facility (No cash accepted)

Clane Wheelers Club Membership (Annual Mandatory Payment) - €30

Cycling Ireland Membership (Annual Mandatory Payment) - €50

ICE "In Case of Emergency" tag payment (Once off Mandatory requirement) - €10

Clane Wheelers Bank Account Information:

A/C No: 66134188

Sort Code: 933236

IBAN: IE13 AIBK 93323666 134188

BIC: AIBKIE2D

When making a payment please add your first name and last initial along with the letters MS

Name:

Address:

Phone number:

E-mail address:

Date of Birth:

Are you currently a member of cycling Ireland

Yes
No

If you answered "YES" above please enter your valid CI number below:

ICE Tag information

Emergency contact 1 details

Emergency contact 2 details

Any current medical conditions