Application to become a Member of the Handlebar Club
* Please clearly indicate which applies
Name in Full (block letters please)
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E-mail......................................................................................................
My name & e-mail address may be sent to other members - circle one: Yes / No
Address..................................................................................................
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City..........................................................................................................
County or State......................................................................................
Post Code or Zip............................................... Age............................
Country....................................................................................................
Nationality...............................................................................................
Home Telephone...................................................................................
Mobile or Cellphone..................................................................
Business Telephone..................................................................
Occupation.............................................................................................
Proposed by...........................................................................................
(if known by a current member)
Interests..................................................................................................
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Payment Method (Paypal or Cheque/Check)....................................
If accepted as a Member of the Handlebar Club I undertake to abide by the rules and
constitution at present in force or as varied hereafter.
Usual signature.....................................................................................
Date.......................................................................................................
For Full Membership applications, please include two copies of a recent passport-sized photograph with the form, and post to:
Steve Parsons (Hon.Sec. Handlebar Club),
'Rose Cottage Farm Oast',
Cranbrook Road,
Knoxbridge,
Frittenden,
Kent TN17 2BT.