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1 Year Term Single Membership Form
1 YEAR TERM MEMBERSHIP APPLICATION (Individual)
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PERSONAL INFORMATION
Layout
Title
*
Mr
Mrs
Miss
Ms
Dr
Admiral
Air Comm
Ambassador
Baron
Baroness
Brig & Mrs
Brig Gen
Brigadier
Brother
Canon
Capt
Chief
Cllr
Col
Commander
Commander & Mrs
Consul
Consul General
Count
Countess
Countess of
Cpl
Dame
Deputy
Dr & Mrs
Drs
Duchess
Duke
Earl
Father
General
Gräfin
HE
HMA
Her Grace
His Excellency
Ing
Judge
Justice
Lady
Lic
Llc
Lord
Lord & Lady
Lt
Lt Col
Lt Cpl
M
Madam
Madame
Major
Major General
Marchioness
Marquis
Minister
Mme
Mr & Dr
Mr & Mrs
Mr & Ms
Prince
Princess
Professor
Prof
Prof & Dr
Prof & Mrs
Prof & Rev
Prof Dame
Prof Dr
Pvt
Rabbi
Rear Admiral
Rev
Rev & Mrs
Rev Canon
Rev Dr
Senator
Sgt
Sheriff
Sir
Sir & Lady
Sister
Sqr. Leader
The Earl of
The Hon
The Hon Dr
The Hon Lady
The Hon Lord
The Hon Mrs
The Hon Sir
The Honourable
The Rt Hon
The Rt Hon Dr
The Rt Hon Lord
The Rt Hon Sir
The Rt Hon Visc
Viscount
First Name
*
Last Name
*
Layout
Company
*
Designation
*
Address
*
Layout
Postal Code
*
Mobile Number
*
Email Address
*
Date Of Birth
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1920
PERSONAL INTERESTS
Other Personal interests (Choose as many as you like)
*
Wines
Watches
Watching sports
Cooking
Health & Wellbeing
Fitness
Music
Card or board games
Drawing or painting
Art & Design
Literature; reading & writing
Photography
Gardening
Collecting
Dancing
Theatre
Film & television
Socialising
Volunteering or philanthropy
Participation sports
Travel & Culture
Motor sport
MEMBERSHIP DETAILS
One Year Term Joining Fee of $2,400
*
Monthly subscription $188/month
Total
$ 0.00
(One Year Term Joining Fee + Monthly Subscription)
PAYMENT OPTIONS
Payment options
*
Credit Card
PayNow UEN 202216077W
Pay With Credit Card
*
Card
Name on Card
Auto Deduct Monthly Subscription
*
I hereby authorise 33Club to auto-deduct my monthly subscription
Final Approval / Authorise
*
I hereby apply for membership of 33 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 33 Club to make appropriate due diligence enquiries in relation to my application.
Joining fees and monthly subscriptions fees are non-refundable
BIOGRAPHY
The biography you provide below will be used to support your application.
Signature
*
Clear Signature
Terms & Condition
APPLY
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