Name _____________________________________________________


Occupation _____________________________________________________


Business Name and Address_______________________________________________







Home Address ______________________________________________________




                                                                              address for Club mail ?



Contact details        ‘Phone number:-


                                  E-mail address:-


Name of Proposer    _________________________________________


Proposer’s signature _________________________________________

The proposer must NOT BE Committee member


Please give brief details of Licensed Trade connection______________



                                        I enclose cheque for £ 79.00

                    (Entry fee £10 / £ 49 annual subscription / £20 tie/scarf )


          Signature ______________________________


          Date          ______________________________

N.B. On committee approval of your application you will receive a confirmation of membership. If at this time you wish to receive a copy of the constitution, please signify this by ticking the box here :- 


The Forty Nine Wine and Spirit Club of Scotland manages the funds of

The 49 Wine and Spirit Educational Trust.

Charity Registration Number:- SC043306


Completed form to :- Richard Barbour; 49 Club; P.O. Box 30011; Killearn; G63 9WJ


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Application Form