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Team Zappi's Membership Form To apply for membership with Team Zappi's, please complete this membership form and post or deliver the completed form and membership fee to the below address. Zappi's Cafe 67 Walton Street Oxford, OX2 6 Attn: Flavio Zappi

Contact Flavio Zappi Tel: 07944877321 Email: flaviozappi@googlemail.com Website: http://flaviozappi.com/

First name: Address:

Last Name:

Post Code: Contact number: Email: Age: Gender: Cycling Interest:

Road Racing, Time Trials, Sportives, Cyclo Cross, MTB, Triathlon

Please circle your area of interest

Club membership fee: £100 The club membership fee includes a club team cycling kit* consisting of cycling jersey, shorts, socks, cap and £200 voucher to spend with our sponsor Sabbath bicycles

Please select/circle your sizes for the team kit below: - Cycling Jersey: S / M / L / XL / XXL - Cycling Shorts: S / M / L / XL / XXL - Socks: M/L *To confirm sizes, samples are available at Zappi’s cafe - 67 Walton St, Oxford, OX2 *Team kit will be provided to club members early/mid Dec 2009

I have enclosed/attached £100 for the membership fee for Team Zappi's Signed: Date: Please make Cheques out to Flavio Zappi or Team Zappi's

Team Zappi's has received £100 for the club membership From: Signed:

Date:


Membership Form