Membership Form

    Your Bultaco Motorcycle Details

    Model 1

    Model 2

    Activity / Interest

    (please tick)

    Please make cheques payable to Bultaco Club UK.
    Address: Cherry Hill Farm, Swanmore Road, Droxford, Southampton SO32 3PT

    For bank transfer: HSBC. Account Number: 01791303. Sort Code: 40-45-22

    Payment by:

    I hereby agree to be bound by terms and conditions of the Bultaco Club UK and the committee.

    Personal data supplied by applicants may be stored on a computer database subject to the UK Data Protection Act.