NAME ___________________________________________________________________

ADDRESS ________________________________________________________________

________________________________________________________________________

POST CODE ______________________

TEL

No _____________ MOBILE _____________email _________

MOTORCYCLE DETAILS

MAKE & MODEL

________________________________________/_______________________________

REG. No ______________ YEAR _______

MEMBERSHIP PAID YES / NO

…………………………………………. …CUT HERE…………………………………

BH&DMCC

 

The membership fee of £16.00 includes affiliate membership

with the British Motorcyclist Federation.

We meet at 7.30 on Monday evening for a ride out.

Received the sum of £16.00………… Cash / Cheque

Receivers name (Print) ______________________