Welcome to the Official Web Site of Surrey Chapter UK (SCUK) : Proud to be an Independent Harley-Davidson Riders Club

LATEST SCUK EVENTS See List

MEMBERSHIP APPLICATION FORM

To pay by BACS then use the following numbers and be sure to include your Surname and Subs as a reference: Sort Code 60 10 14 - Account Number 87033135

Rider's Name *:
Email:
Home Phone Number:
Work Phone Number:
Mobile Phone Number:
Date of Birth:
Rider's Address *:
Postcode:
Occupation:

Which of your personal information may we disclose to others members?	Address Email Home Phone Mobile Phone

Courses Taken:	Riders Edge ROSPA IAM Ride Safe First Aid Other

Would you like to add a Social Member?

Social Members Name:
Social Members Email:
Social Members Mobile Number:
Social Members Date of Birth:

Where did you hear about Surrey Chapter UK?
I understand and agree that the personal information supplied on this form will be maintained on a Chapter Membership Register in accordance with GDP Regulations
Your membership will cost you £35 and will expire on 31/12/2021
Price includes: Joining after 1st June 2021 but before 1st November 2021 - £25
New Member joining Fee - £10



* Required field

LATEST SCUK EVENTS See List
Custom Cafe 25/9 (Dave Smith)
Blackbushe Brunch 26/9
Ride To The Wall 1-3/10 (Steve Whitmore)
Lobster Pot 3/10 (Andy Pearse)
Club Night 14/10
SLOH Brunch 17/10 (Gwen)

Last Update: Tue 21 Sep 2021 - 12:48

Surrey Chapter UK

Dave Smith - Mobile: 07 929 008 836.

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