Profile

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Name:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Country:

Email:

Phone #:

Work #:

Fax #:

Birthday:

Occupation:

Biography:

Year / Color of GL1000 Bike(s):

VIN #:

Are you the original owner?:

Miles on Bike(s):

Years Riding:

Miles you ride per year:

Do you show your bike?:

Type of Accessories:

Interested in any accessories?:

Would you be interested in a classic meet?: Where?:

Do you own any other bikes?:

Would you host a classic Meet?: Where?:

Other motorcycle organizations you belong to:

Referred By:

CWC Membership Number: