Third Party Insurance

In order to arrange the Third-party Insurance (through the CTC) we need the name and address of each person you want to be covered. The cost to members is £1.80 per person per year. Renewal will be due at the time of the renewal of your Cambridge Cycling Campaign membership. Please return this form to the Campaign (at the Bath House) by the end of the year. We’ll collect all the responses together and then send them off to the CTC: cover will be effective from when they receive the names and addresses.

Note: If you are a member of the CTC, you may already have this insurance cover!

Name and Address

I wish to take out third-party cover for the above named person/people and enclose a cheque (made payable to the “Cambridge Cycling Campaign”) with a total value calculated at £1.80 per person.

Signed:

Membership No.: