Application to become a Member of the Handlebar Club

Name in Full
Preferred first name or nickname
Address
Post code
Telephone - home - business    
Nationality Age    
Occupation
Clubs
Sports and Games
Proposed by
(if known by a current member)
Click below to submit
 

Please note that if you are unable to meet the committee, we shall require a recent photograph to prove that you have the required qualification.   Please send it by e-mail to our secretary, Steve Parsons .



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