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Virago Star Owners Club
POSTAL MEMBERSHIP APPLICATION & RENEWAL
(Please print out this form using the button below)
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Personal Details
Name
: __________________________________________________________________________________________
Address:
________________________________________________________________________________________
_______________________________________________________________________________________________
__________________________________________________________
Post Code
: _________________________
Telephone No
: __________________________________
Membership Number (if renewing):
____________________
Email Address:
___________________________________________________________________________________ |
Bike Details
Model:
_____________________________________
Year:
___________
Registration Number:
________________
Colour:
___________________________
Chassis No
: __________________________________________________
Datatag:
__________________________
Engine No:
__________________________________________________
Extras Fitted:
____________________________________________________________________________________
_______________________________________________________________________________________________ |
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Please indicate to which VSOC Centre you would like to belong to (one only please). | |
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Centre 1 - Scotland |
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Centre 12 - Thames Valley | |
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Centre 2 - Ireland |
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Centre 13 - North London | |
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Centre 3 - Staffordshire & N. Wales |
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Centre 14 - South London & Surrey | |
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Centre 4 - Northumberland & Durham |
| Centre 15 - Kent & East Sussex | |
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Centre 5 - Yorkshire & Humberside |
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Centre 16 - Solent | |
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Centre 6 - Northwest & Cumbria |
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Centre 17 - South West | |
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Centre 7 - South Wales |
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Centre 18 - Devon & Cornwall | |
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Centre 8 - West Midlands |
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Centre 19 - Essex | | |
Centre 9 - East Midlands | |
Centre 20 - Offshore | |
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Centre 10 - East Anglia |
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I agree to abide by the rules and constitution of the VSOC
Signed __________________________________________ Dated ________________
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Postal Membership fees (Please tick appropriate box):
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Full year (1st April to 31st March)
£17.50 plus £9.00 joining fee = £26.50 |
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Six months (1st Oct to 31st March only)
£8.75 plus £9.00 joining fee = £17.75 |
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Renewals:
Postal Subscriptions for the year ending
31st March
2014 remain at £17.50
A 'late renewal' fee
of
£5.00
applies
after April
30th.
Any member not renewing by
31st May will be considered to have left the
club
and
will
have
to
Rejoin.
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Make cheques payable to the Virago Star Owners Club.
Please send to:
M. Bland, Virago Star Owners Club, PO Box 188, Cleckheaton. BD19 9AA
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Remember that you do not have to leave the VSOC if you choose to sell your Virago or Star bike
ONCE A MEMBER, ALWAYS A MEMBER! |