Virago Star Owners Club
POSTAL MEMBERSHIP APPLICATION & RENEWAL
(Please print out this form using the button below)

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: ____________________________________________________________________________________

 _______________________________________________________________________________________________

Please indicate to which VSOC Centre you would like to belong to (one only please).

      Centre 1 - Scotland       Centre 11 - Home Counties
  Centre 2 - Ireland   Centre 12 - Thames Valley
  Centre 3 - Staffordshire & N. Wales   Centre 13 - North London
  Centre 4 - Northumberland & Durham    Centre 14 - South London & Surrey      
  Centre 5 - Yorkshire & Humberside   Centre 15 - Kent & East Sussex
  Centre 6 - Northwest & Cumbria   Centre 16 - Solent
  Centre 7 - South Wales   Centre 17 - South West
  Centre 8 - West Midlands   Centre 18 - Devon & Cornwall
  Centre 9 - East Midlands  Centre 19 - Essex
  Centre 10 - East Anglia   Centre 20 - Offshore

I agree to abide by the rules and constitution of the VSOC

Signed __________________________________________         Dated ________________

Postal Membership fees (Please tick appropriate box):
   
Full year (1 April to 31 March)
£17.50 plus £9.00 joining fee = £26.50
   
Six months (1 Oct  to 31 March only)
£8.75 plus £9.00 joining fee = £17.75
Renewals:
Postal Subscriptions for the year ending 31st March 2009 remain at £17.50
30th April has now passed. Therefore a 'late renewal' fee of £5.00 will now be charged.
Make cheques payable to the Virago Star Owners Club.
Please send to:
M. Bland, Virago Star Owners Club, PO Box 188, Cleckheaton. BD19 9AA

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!