Membership No.

 (Please leave blank unless renewing)

Bike Reg No.

Name:

Address:

Postcode:

Telephone:

E mail address:

XV Model:

Year:

Chassis No.

Engine No.

Colour:

Signed:

Date:

Extras fitted:

I agree to abide by the rules and constitution of the VSOC

Membership fee:

Full year (1 April to 31 March)  £17.50 plus £7.50 (new members joining fee) = £25.00

Make cheques payable to the Virago Star Owners Club.
Please send to:
Malcolm Bland, Membership Secretary 103a Hunsworth Lane, Hunsworth, Cleckheaton BD19 4DP

Remember that you do not have to leave the VSOC if choose to sell your Virago or Star.

ONCE A MEMBER, ALWAYS A MEMBER!