FORTY-NINE CLUB 

 

MEMBERSHIP APPLICATION

 

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