COUPLES MEMBERSHIP APPLICATION FORM
(Subject to approval by Membership Committee) Please complete the following form to apply to 29 Private members Club.

Couples Membership - £250 + VAT

MEMBER 1

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Name:

Company:

Date of Birth:

(29 Membership is aimed at 30 years and over)

Occupation:

Hobbies & Interests:

MEMBER 2

Prefix:

Name:

Company:

Date of Birth:

(29 Membership is aimed at 30 years and over)

Occupation:

Hobbies & Interests:

Address:

Address Line 2:

Postcode:

Contact Number:

Email:

Please complete to receive the 29 Newsletter

Proposing Member:

Membership No:

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29 Membership
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