Application for Membership of 67 Pall Mall Verbier

Application for Membership of 67 Pall Mall Verbier
Personal Details
YOUR FULL NAME*

TitleFirst NameLast Name
YOUR ADDRESS*

Address line 1

address line 2

City

Postal codeCountry
LANDLINE NUMBER
MOBILE NUMBER*
EMAIL ADDRESS*
DATE OF BIRTH*

DayMonthYear
NATIONALITY
OCCUPATIONAL SECTOR*
COMPANY NAME
COMPANY ADDRESS

address line 1

address line 2

address line 3address line 4

Postal codeCountry
PERSONAL ASSISTANT DETAILS (IF APPLICABLE)

First NameLast Name
PA CONTACT NUMBER
EMAIL ADDRESS
PERSONAL INTERESTS*
OTHER PERSONAL INTERESTS
DIETARY REQUIREMENTS
WOULD YOU PREFER TO RECEIVE COMMUNICATIONS IN FRENCH OR ENGLISH?
Membership

If you wish to add your life partner,
please select the Joint Membership in addition to your own category.
Membership Cat*
prevnext( X )
ANNUAL MEMBERSHIP
Members are offered full membership rights and access not only to the Verbier Club but also our growing, global portfolio of Clubs. Joining Fee: 2,000 CHF

2,500CHF



UNDER 30 MEMBERSHIP
As with the Annual Membership, this membership offers full membership rights and access for those under 30.

1,500CHF



18-25 MEMBERSHIP
Young wine lovers have access to our private Clubroom space, menu, wine list and events programme, with no joining fee. Excludes international Club access and gym access.

600CHF



CORPORATE MEMBERSHIP
Local businesses can meet with and entertain clients in our Clubroom. Any member of the company can visit with up to 5 guests per visit. The company is restricted to one reservation per day, booked via a nominated employee. Excludes international Club access and gym access. Joining Fee: 2,000 CHF

2,000CHF



VERBIER EXCLUSIVE MEMBERSHIP
A Verbier Exclusive Membership grants access to our Clubroom, wine list and events programme. Excludes international Club access, cellar storage. Joining Fee: 1,000 CHF

1,800CHF



JOINT MEMBERSHIP
Available for any category of membership, this membership applies to the romantic partner of an existing Member. All benefits of the existing Member’s category are applicable.

600CHF



LIFE MEMBERSHIP
35,000CHF
Investment opportunities are also available. Please email christina@67pallmall.ch to enquire.

Kindly note that the Membership grid above details the access information per category.
Joint Member Details

Please confirm your spouse/partners full name and email address.
FULL NAME

First NameLast Name
EMAIL ADDRESS
PHONE NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
JOINT MEMBER - DATE OF BIRTH

DayMonthYear
Biography
The biography you provide below will be used to support your application.
PHOTO

to be used for internal uses only
Cancelof
PROPOSER

First NameLast Name
SECONDER

First NameLast Name
I hereby apply for membership of 67 Pall Mall Verbier ("The Club"). Should my application for membership be approved, I agree to be bound by the Club Rules, by signing this agreement I give my consent for the processing of my personal data as outlined in the Club's Privacy Policy, and for my information to be used for internal Club purposes only. Additionally, I authorise 67 Pall Mall Verbier to make appropriate due diligence enquiries in relation to my application.
SIGNED*

Clear
DATED

DayMonthYear
Date
Membership Category (Text)
Should be Empty:

Application for Membership of 67 Pall Mall Verbier

Personal Details

Membership

If you wish to add your life partner,please select the Joint Membership in addition to your own category.

Joint Member Details

Biography

If you wish to add your life partner,
please select the Joint Membership in addition to your own category.