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 membershipwith 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) ______________________