Application for membership of 67 Pall Mall Verbier

Application for membership of 67 Pall Mall Verbier
Personal Details
Your full name *

Title First Name Last Name
Your Address *

Address line 1

address line 2

Address line 3 Address line 4

Postal code Country
Landline Number
Mobile number *
Email Address *
Date of birth *

Day Month Year
Nationality
occupational sector *
Company Name
company address

address line 1

address line 2

address line 3 address line 4

Postal code Country
personal assistant details (if applicable)

First Name Last Name
contact number
Email address
Personal interests *
Other personal interests
Dietary Requirements
Membership
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Annual Membership
2,200.00 CHF

Joint annual Membership
2,700.00 CHF

Under 35 Membership
1,500.00 CHF

Wine professional Membership
1,100.00 CHF

Under 30 Membership
1,200.00 CHF

18-25 Membership
500.00 CHF

Equity Life Membership
36,000.00 CHF
A limited number of 67 Pall Mall Verbier Founding Memberships are available with a waived joining fee. Once this category is full, a joining fee of 1,900CHF will apply.
All membership categories with the exception of the 18-25 category will allow access to the gym. Members who are 25 years and below who wish to use the gym should join the Under 30 membership category.
Equity Life Membership is strictly limited, and is at the discretion of the Company, and may be withdrawn at any time.
Joint Member Details

Please confirm your spouse/partners full name and email address so we can reach out for further details
Full Name

First Name Last Name
Email address
Biography
The biography you provide below will be used to support your application.
Photo

to be used for internal uses only
Cancel of
Proposer

First Name Last Name
Seconder

First Name Last 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

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Date
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Application for membership of 67 Pall Mall Verbier

Personal Details

Membership

A limited number of 67 Pall Mall Verbier Founding Memberships are available with a waived joining fee. Once this category is full, a joining fee of 1,900CHF will apply.

All membership categories with the exception of the 18-25 category will allow access to the gym. Members who are 25 years and below who wish to use the gym should join the Under 30 membership category.

Equity Life Membership is strictly limited, and is at the discretion of the Company, and may be withdrawn at any time.

Joint Member Details

Biography