Application to become a Member of the Handlebar Club

Name in Full (block letters please)

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Preferred first name or nickname......................................................................

Address....................................................................

.................................................................................

.................................................................................

Post code..................................................................

Telephone - home......................................................

            - business......................................................

e-mail........................................................................

Age....................Nationality.......................................

Occupation...............................................................

Clubs........................................................................

Sports and Games.....................................................

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.....................................

Proposed by.............................................................
(if known by a current member)

Please return this form, together with two copies of a recent passport-sized photograph, to:-

Steve Parsons (Hon. Sec. Handlebar Club),

'Rose Cottage Fram Oast', Cranbrook Road, Knoxbridge, Frittenden, Kent TN17 2BT.