Classic Wing Club

Online Application Form

Name:	Date of Birth:
Address:	City:
State:	Zip:
Country:	Home Phone:
Work Phone:	Fax:
Email:	Occupation:

Year / Color of GL1000 Bike(s)	VIN #
Are you the original owner? YESNO	Miles on Bike(s)
Years Riding?	Miles you ride per year?
Do you show your bike? YESNO
Type of Accessories	Interested in any accessories YES NO

Would you be interested in a classic meet?YES NO	Where?

Do you own any other bikes? YES NO

Would you host a classic Meet? YES NO	Where?

Other motorcycle organizations you belong to?

Brief life history (for newsletter Membership Spotlite):

Referreed by?	CWC Membership Number

FEES / Yearly US $35 USD Canada $45 USD Overseas $55 USD

If you have any technical problems or questions concerning this form, please contact the webmaster

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CLASSIC WING CLUB
President Bob Roe
Email Us
Web address: www.classicwingclub.org