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Membership Application Form
 
Please Note: This form is for 1 bike. For 2 bikes, please fill in a second time.

Note: The email address placed on this form must be the same if requesting access to the 'Members Area'.

Multiple address cannot be used.

Motorcycle Information

Motorcycle 

FEES: The club has a UK bank account, so please pay in Sterling!! All cheques and postal orders should be made payable to COSSACK OWNERS CLUB. Please 'tick' the appropriate box below.

Membership Through Card/PayPal System
Membership Type
Membership by Cheque or Postal Order
Membership Type

Family Membership gives 1 extra vote at meetings

Please use the manual form on the membership page for all Cheques and Postal Orders:

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C.O.C. Membership Secretary

Gina Inman

1A Sycamore Road

North Luffenham

Oakham, Rutland

LE15 8JL

UK

Please be aware, completing this form alone does not automatically make you a member and is only for information purposes. Please use the 'Buy Membership' below to pay for your membership
Agreement
For Membership matters ONLY use the address below:
DO NOT send money to this address
membership@cossackownersclub.co.uk

Thanks for submitting!

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To Buy Membership

Please Note: Inline with GDPR (General Data Protection Regulations), as you have applied for membership of the Cossack Owners Club it is deemed that you are granting permission for the club to retain your address, telephone numbers and email address on a secured database unless you inform us otherwise. This is for the purpose of administering your application to, and ongoing membership of, the club. Personal information is not shared and will be deleted 12 months after resignation from the Cossack Owners Club

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