Membership Application
To request membership please complete the boxes below:
Applicant:
First Name:
Surname:
House Name / N
o
& Rd / St:
Town:
County:
Post Code:
Country:
email address:
Telephone Number:
Telephone Alternative:
Do you have any objections to your name and telephone number being listed in the membership directory? (Addresses are not published)
Yes
No
Could you help a member in distress whilst in your area?
Yes
No
1st
2nd
Registration N
o
of your CBX motorcycle:
Colour:
Model:
What are your main interests?
Rallies
Touring UK
Touring Abroad
Nothing Special
Other
Would you be able to show your bike in a local event?
Yes
No
Do you have any skill or contact which could help the club and its members?
If so please list....
How will you pay your subscription?
PayPal
Cheque
How did you learn about us?
Please read through the following then use the submit button at the end:
The membership year runs from 1st April to 31st March.
The annual fees are:
Single membership £25.00 per annum (£2.50 per month if joining mid year) + £5.00 administration fee for new members.
Overseas members including Rep of Ireland £33.00 per annum (£3.00 per month if joining mid year) for non UK members + £5.00 administration fee.
£6.00 per annum (50p per month if joining mid year) for additional family members
(must be family not friends)
.
Payment methods are paypal, cheque or standing order.
If you need advice with regard to subs please contact the club
on this link
or call Tony Smith on 01 622 832796 between 10 a.m. & 8 pm. anyday including weekends. If joining between 1st January and 1st March contact the above number as discounts may apply.
I understand that the CBX Riders Club cannot assume any responsibility for any aspect of my safety or property while participating in any club events. I accept that my personal information will be held on computer for administration purposes only and will not be passed on to any third party.
I agree
Disagree
Please make your payment:
There is no fee for paypal transactions / payment. The paypal email address to use is:
treasurercbxclub@tiscali.co.uk
When sending by PayPal please use the 'Personal' section in the 'Send Money' part of your PayPal account then tick Personal Payment Owed.
Else you can send a cheque payable to
CBX Riders Club
to the club treasurer at the following adress:
Tony Smith
Treasurer, CBX riders club(UK)
Brookmead
Plain Road
Marden
Tonbridge
Kent
TN12 9EH
Click here to submit:
Need to reset?
You can email the UK CBX club by clicking on this link