Membership Document

YAMAHA XJR OWNERS CLUB

XJR Community & Owners Club. If you want to talk anything XJR (and more), this is the place to do it!

Before submitting this form, please read the following carefully.

There are two ways you can pay for your membership:

Cash/Cheque - if you want to use this method, then after submitting this form you will need to send your money to:

Mr Matt Fishwick,

32 Regents Way,

Euxton,

Chorley,

Lancashire.

PR7 6PQ.

Make cheques payable to Yamaha XJR Ownersclub

Credit/Debit card - if you want to use this method, then after submitting this form you will receive a PayPal payment request instructing you what to do next

Please scroll Down to complete your application

Title:

First Name: Joint Member First Name:

Last Name: Joint Member Last Name:

What type of member are you? Internet: Non-internet:

Is this a renewal? Yes: No:

what is your username? Joint (if applicable):

N.B. Usernames only applicable if registered on the internet forum, if you haven't already please create a forum account before sending this form.

Address Line 1:

Address Line 2:

Address Line 3:

Address Line 4:

County:

Country:

Post Code:

Tel No:

Email:

How would you like to pay? Cash/Cheque: Credit/Debit Card:

Please read the following statement:

In submitting this form, I accept that the Yamaha XJR Owners Club shall bear no liability for my personal safety, or that of my possessions when I participate in any organised rideouts, meetings or events.

Please tick to agree to these terms and then submit this form using the button below (once submitted you will be returned to the club website and recieve a confirmation email :