APPLICATION FOR MEMBERSHIP By Direct Debit

 

Please select your membership of choice                   Direct Debit

 

                   Club Membership                                           £7 per month

 

 


                   Joint Club Membership                                  £8.50 per month

 

 

Applicant 1

 

Title

 

Forenames

 

Surname

 

Telephone

 

Mobile

 

E-mail *

 

Job Title

 

Company

 

 

___________

 

________________________________

 

________________________________

 

________________________________

 

________________________________

 

________________________________

 

________________________________

 

________________________________

Applicant 2

 

Title

 

Forenames

 

Surname

 

Telephone

 

Mobile

 

Job Title

 

Company

 

 

___________

 

_________________________________

 

_________________________________

 

_________________________________

 

____________

 

_________________________________

 

_________________________________

 

 

For joint memberships both members must live at the same address:

Address:    

                   _________________________________________________________________________________________

 

                   _________________________________________________________________________________________

 

                   Town _______________________________________ County _______________________________________

 

Post Code:  ______________

 

Members Birthday: __________________ Partners Birthday: ______________________ Anniversary: _________________

 

 

* Providing Design Restaurants with your e-mail address will allow us to send you updates on new restaurants, validity times and offers. If you do not wish to receive these offers please omit your email address.

 

We invite you to advise us of any friends or family who you feel may be interested in receiving details of Design Restaurants.

 

Name: ____________________________________________ Contact Number: _______________________________________________

 

Name: ____________________________________________ Contact Number: _______________________________________________

 

Name: ____________________________________________ Contact Number: _______________________________________________

 

 

 

Please send in a sealed envelope to the registered office address below allowing 7 days for delivery of your membership package.

 

Thank you for your application, we look forward to welcoming you to Design Restaurants.