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Cycle to Work Registration

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Employee Registration Form

Please note that for an Employee to take advantage of this scheme, their Employer must have registered with Gemelli. If you are unsure if your Employer offers this scheme, please call us on 01280 851113 and we can advise. If your Employer does not currently offer this scheme you could request our information pack to pass on...  

Request Information Pack

Please complete the Registration Form below. Any questions, or if you would prefer to complete your registration over the phone, please call us on 01280 851113. Alternatively you can print out the Registration Form and return to us by post, fax or email.

Printable Registration Form


Your Details...


Employment Details...

Please refer to your employer or Gemelli for your Salary Exchange Term (12, 18 or 24 months) offered.

£
mm/yyyy
Please refer to your employer or Gemelli for the term offered.

Bike Details...

Please visit www.evanscycles.com www.Halfords.com https://www.cyclerepublic.com or your local independent bike store to select your bike and accessories.

Please refer to your employer or Gemelli for your maximum spend threshold.

£

Equipment Details...

£

Your Agreement...

Important: Please ensure you have read and agree with the pre-contract information (at the top of the TC's page) plus the full Terms and Conditions for our Cycle to Work scheme before you submit your registration.

I confirm that the information I have given is accurate and that I have read and understand the Terms and Conditions supplied. I confirm that Gemelli can contact me using my details as above.


Data Protection...

The information that you provide on this form will be used in a confidential manner to help us process your request to use one of the services we provide to your employer. We abide by the Data Protection Act and General Data Protection Regulations. We are conscious of only taking the personal data from you that we require and will keep it safe and secure. We may need to take limited details about you to process this application. You can find details of how we process your personal data in our Privacy Policy on our website. 

I confirm that I understand and agree to the Data Protection Statement above and the terms of Gemelli's Privacy Policy.


Please now submit your registration by clicking on the button below. One of our team will be in touch shortly - thank you.

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