Application for membership of 67 Pall Mall Singapore

Application for Membership of 67 Pall Mall Singapore

Waiting List open
Personal Details
Title
Your Full name*
given name(s)
*
family name
Your Address*

Address line 1

Address line 2

CityState

Postal codeCountry
Landline Number
handphone number*
Email Address*
Date of birth*

DayMonthYear
Nationality*
occupational sector*
Company Name
company address

Address line 1

Address line 2

CityState

Postal codeCountry
personal assistant details (if applicable)

First NameLast Name
Contact Number
Email address
Personal Interests*

Watching sportsCookingHealth & WellbeingFitnessMusicCard or board gamesDrawing or paintingArt & DesignLiterature; reading & writingPhotographyGardeningCollectingDancingTheatreFilm & televisionSocialisingVolunteering or philanthropyParticipation sportsTravel & CultureMotor sport
Other personal interests
Dietary requirements

Nut AllergyShellfish AllergyFish AllergyGluten FreeDairy freeLactose freeVegetarianVeganPaleoKetogenicOther
Membership
I wish to apply for*
prevnext( X )
Annual Membership
$3,600.00SGD



Under 35 Membership
$2,700.00SGD



Under 30 Membership
$2,400.00SGD



Wine professional Membership
$1,800.00SGD



Joint Membership
$900.00SGD
A joining fee of S$3,000 applies to all categories with the exception of Under 30, Joint and Life Membership.

Once your application has been approved by the Membership Committee, we will contact you to set up a Giro collection.

A London Lifetime (Debenture) Membership is available for GBP £150,000.
If you would like to apply for this category of membership, please contact the membership team directly at membership@67pallmall.sg.
Joint Member Details

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

First NameLast Name
Email address*
Biography

The biography you provide below will be used to support your application.
Photo*

to be used for internal uses only
Cancelof
Proposer (An existing 67 Pall Mall Member)

First NameLast Name
Seconder

First NameLast Name
I hereby apply for membership of 67 Pall Mall ("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 to make appropriate due diligence enquiries in relation to my application.
How did you hear about 67 Pall Mall Singapore?*
Signed

Clear
Dated

DayMonthYear
Date
Selected option

Membership of 67 Pall Mall Singapore (Amount: 300.00 SGD),SGD,300.00Under 35 Membership (Amount: 225.00 SGD),SGD,225.00Under 30 Membership (Amount: 200.00 SGD),SGD,200.00Wine professional Membership (Amount: 150.00 SGD),SGD,150.00Joint Annual Membership (Amount: 75.00 SGD),SGD,75.00
Should be Empty:

Application for Membership of 67 Pall Mall Singapore

Personal Details

Membership

Joint Member Details

Biography