Virago Star Owners Club
New & Renewal Membership application
(Centre 19) Essex Crusaders
Complete form below 'off-line'. PRINT at the bottom of page and return with your cheque attached
Membership No:
(
please leave blank unless renewing)
Bike Reg:
Name:
Address:
Town/City:
Postal Code:
Telephone No:
Email Address:
XV Model:
Year:
Chassis No:
Engine No:
Colour:
Datatag:
I agree to abide by the rules and constitution of the VSOC
Click here to view
Signed:
Date:
Membership Fees
(New Members Only)
Full year (1 April to 31 March)
£17.50 plus £10.00 joining fee = £27.50
All subscriptions will expire on 31st March
Renewal Membership Fees
(Current Members Only)
Full year (1 April to 31 March)
£17.50
Please make both New application and Renewal Membership cheques payable to:
Virago Star Owners Club
Please print off and mail with your cheque to:
Malcolm Bland, VSOC Club Secretary, 103a Hunsworth Lane,
Hunsworth, Cleckheaton, BD19 4DP
REMEMBER - Renewal payments made after 30th March will invoke a £5.00 admin fee!