JZR PILOTS' ASSOCIATION

Membership Application Form


NAME:
ADDRESS:
.
.
.
POSTCODE:
TELEPHONE No:
EMAIL ADDRESS:
KIT ACQUISITION DATE:
COMPLETION DATE (or previous owner):
LONG/SHORT COCKPIT. CHASSIS No:
DONOR (Honda/Guzzi/etc.):
REGISTRATION No:
COLOUR(S):
SPECIAL FEATURES:
.
.
.


Please print the form out, complete it and send it with the fee, together with a photo if possible to:

badge
Mr Peter Wright
4 Chestnut Way
1Kingswood
Bristol
BS15 4TU
Tel No. 01179566261
Email: peterwright4@virginmedia.com

Subscriptions are 17.50 p.a.
Membership Year Commences 1st January
(cheques in pounds sterling and payable to JZR Pilots' Association please)


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