Virago Star Owners Club
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Click here if you wish to proceed with the Online payment Otherwise, please print and post this form with your application | |
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Personal Details:
Name : First_Name Initial Last_Name | |
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Address:
House_Number_Name, street1 street2 town_city county_state , post_code, Country | |
| Telephone No : telephone | Membership Number (if renewing): member_number |
| Email Address: email | |
| VSOC Centre Choice: centre_of_choice | |
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| Bike Details: | |
| Model: Model | |
| Year of make: reg_year | Reg Number: reg_number |
| Colour: colour | Chassis No: chassis |
| Datatag: datatag | Engine No: engine |
| Extras Fitted: extras | |
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Renewals
for the Year Ending 31st March 2009
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I agree to abide by the rules and constitution of the VSOC
Signed __________________________________________ Dated ________________ |
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Please make cheques payable to the Virago Star Owners Club and send to:
M. Bland, Virago Star Owners Club, PO Box 188, Cleckheaton. BD19 9AA. ENGLAND |
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Remember that you do not have to leave the VSOC if you sell your Virago or Star bike.
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