Club Membership Request Form

Firstname:	*
Surname:	*
Address Line 1:	*
Address Line 2:
Address Line 3:
Town/City:	*
County:
Post Code:	*
Telephone:	*
Email Address:	*
Website URL:
Wife/Partner Name:
Your Nickname:
Partner's Nickname:
Your Birthday:
Partner's Birthday:
Do you camp?	*
What type of Goldwing do you ride/own?	*
What colour Goldwing?	*
Tell us about your Interests & Hobbies and places you like to visit on your bike. characters remaining	*
The one off Joining fee is £50 €70.00 / $70.00 + mailing costs for Non UK This fee includes..! £40 initial joining fee + your first annual £10 Admin fee. (the Admin fee is payable every January) It also includes .. Password Protected access to the full members forum.
Why do you want to become a member of the elite-wings ? characters remaining	*
Do you agree with our Privacy Statement? Yes No

Looking forward to hearing from you!