The Arts Club Membership Application
The Arts Club Membership Application
The Arts Club Membership Application
A p p l i c At i o n f o r M e M b e r s h i p
4 0 D o V e r s t r e e t M AY F A i r l o n D o n W 1 s 4 n p
Name of ProPoser
Name of secoNder
P l e a s e N ot e : 1. You should ask your proposer and seconder to write a letter in support of your application. these letters should be sent separately by them to the membership secretary. 2. If you do not know any member of the club well enough to propose or second your application please contact the membership secretary who may be able to arrange this for you. 3. the club reserves the right to verify the information provided by candidates. 4. the club reserves the right not to proceed with any application that the committee considers unsuitable. No explanation will be given for the refusal of a candidate.
I hereby apply for membership of the arts club; if elected I agree to be bound by the rules of the club and any Bye-laws made in accordance therewith and to pay such entrance fee and subscriptions as the rules should require. I am over 21 years of age. In accordance with the data Protection act (1998) I authorize my information to be used for internal club purposes only.
s I g N at u r e o f c a N d I dat e
dat e
Please send the completed application form to: the arts cluB 40 dover street maYfaIr loNdoN W1s 4NP
memBershIP NumBer
date elected
P e r s o n a l D e ta i l s
it is most important that we have sufficient information about candidates and their work to make a decision about their application.
Please affix a passport size photograph or email one to membership@theartsclub.co.uk
N at i o N a l i t y
Dat e o f B i r t h
N a M e o f S P o U S e / Pa r t N e r
NaMe of DePeNDeNt/S
h o l i Day o B S e r Va N C e S
P r o f e S S i o N a l Q U a l i f i C at i o N S
B r i e f S U M M a ry o f C a r e e r
P r e S e N t o C C U Pat i o N Please include as much information as you can about recent achievements.
iNtereStS Please make specific mention of connections with the arts, literature and/or science.
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C h a r i t i e S yo U S U P P o r t
C a n D i D at e D e ta i l s
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title
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C R E D I T C A R D AU T H O R I S AT I O N F O R M
TI TLE FIRST NAME SURNAME ADDRESS
NAME ON CARD C ARD NUMBER POSTCODE TELEPHONE FAX E MAIL START DATE SECURITY CODE I AUTHORISE YOU TO CHARGE MY CREDIT CARD FOR: JOINING FEE ANNUAL FEE EXPIRY DATE
Please ll in the whole form using a ball point pen and send it to:
SIGNATURE DATE
4 0 D O V E R S T R E E T M AY F A I R L O N D O N W 1 S 4 N P
Te lephon e 0 20 7499 8581 Emai l s cre tar y@thea r tsclu b.co.uk We b thear tsclub.co.u k e