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, if retired former occupation
*
Date of Birth
*
-
Day
-
Month
Year
Date
I am happy to use e-mail with the Club to speed up communications and reduce the cost
*
I agree
Wine Society share number no longer required, but currently used for login with surname until the system is changed so please add or if you do not have one put 99999
*
I wish to apply for membership
*
You will be able to attend one event at the members rate after which if I decide to join I agree to pay the £20 joining fee and £60 subscription and ongoing annual subscription by GoCardless on the 1 April each year
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
Name of member (if you do not know anyone indicate as such)
Application date
*
Please verify that you are human
*
Submit
Should be Empty: