NAME: |
||
ADDRESS: |
||
TOWN: |
||
COUNTY/PROVINCE: |
POSTCODE: |
|
COUNTRY: |
DATE OF BIRTH: |
|
E-MAIL ADDRESS: |
||
BIKE REGISTRATION NUMBER: |
HORNET DETAILS - (PLEASE TICK APPROPRIATE BOXES). |
|||||||||
YEAR OF MANUFACTURE: |
1998 |
. |
1999 |
. |
2000 |
. |
2001 |
. |
|
COLOUR OF BIKE... |
|||||||||
CANDY BLAZING RED ('98) |
. |
ITALIAN RED ('99) |
. |
||||||
BOON SILVER METALLIC('98) |
. |
CANDY TAHITIAN BLUE |
. |
||||||
PEARL SHINING YELLOW |
. |
CUSTOM PAINT JOB |
. |
||||||
MUTE BLACK METALLIC ('00/'01) |
. |
FORCE SILVER METALLIC('00/'01) |
. |
Please enrol me in the Honda Hornet Owners club for 1 year.
I enclose a Cheque for the sum of £5 made payable to: M.W. STATHAM -(Please DO NOT send cash)
Signed: |
Date: |
SEND YOUR COMPLETED FORM AND CHEQUE TO:
MATT STATHAM. 1 VALERY PLACE, PRIORY ROAD, HAMPTON, MIDDLESEX, TW12 2NZ.
Please note: The Honda Hornet Owners Club is not supported or linked to Honda UK in any way.
All details given in the form above will remain strictly confidential and not released to any other party.