Membership Application
To apply for membership please complete all questions.
Title
*
Title
Name
First Name
Last Name
Suffix (honours)
Suffix
Known as
*
How I want to be addressed
Address
*
Street Address
Street Address Line 2
City
Postal / Zip Code
E-mail
*
Home Number
Format: (+44) 00000-000000.
Mobile Number
*
Format: (+44) 0000-0000000.
Work Number
Format: (+44) 0000-0000000.
Occupation
*
I am happy to use e-mail with the Club to speed up communications and reduce the cost
*
I agree
Wine Society share number
*
I wish to apply for membership
*
Immediately and agree to pay the £20 joining fee and £60 subscription and ongoing annual subscription by GoCardless on the 1 April each year
After attending 1 event of the Club
How did you find out about the Dinning Club?
*
An existing WSDC Member
The WSDC.org.UK web site
The Wine Society Web site
Word of mouth
Other
I know members who can sponsor and second me
*
Yes
No
Sponsors name (if you do not know anyone indicate as such)
Seconders name
Application date
*
Please verify that you are human
*
Apply for Membership
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