Corporate Membership Application Form

This Application is for Corporate Members Only

A company, firm or other organisation to apply and nominate not less than two of its directors, partners, office-bearers or other senior persons for election as Corporate Lay Members of the Club. The online application form has the facility to submit up to 5 Corporate Lay Members.

Corporate Membership Application Form

Member Type*
Name of Corporate Entity*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Website
Lead Applicant agrees*
First Last
We agree to abide by the Rules and Bye-Laws of the Club
Date*
MM slash DD slash YYYY
Proposer and Seconder of our Application
No Proposer or Seconder
- No
If you do not already know any members of the Club don’t worry – just select No, we will be delighted to help process your application.
Proposer's Name
Proposer's Email
Seconder's Name
Seconder's Email (if known)
Corporate Members Only
(minimum of two) are as follows
Applicant 1
Full Name and Job Title (applicant 1)
Home Address (applicant 1)
Home Telephone (applicant 1)
Mobile Phone (applicant 1)
Email (applicant 1)
Profession or Occupation (applicant 1)
Date of Birth (applicant 1)
Applicant 2
Full Name and Job Title (applicant 2)
Home Address (applicant 2)
Home Telephone (applicant 2)
Mobile Phone (applicant 2)
Email (applicant 2)
Profession or Occupation (applicant 2)
Date of Birth (applicant 2)
Applicant 3
Full Name and Job Title (applicant 3)
Home Address (applicant 3)
Home Telephone (applicant 3)
Mobile Phone (applicant 3)
Email (applicant 3)
Profession or Occupation (applicant 3)
Date of Birth (applicant 3)
Applicant 4
Full Name and Job Title (applicant 4)
Home Address (applicant 4)
Home Telephone (applicant 4)
Mobile Phone (applicant 4)
Email (applicant 4)
Profession or Occupation (applicant 4)
Date of Birth (applicant 4)
Applicant 5
Full Name and Job Title Applicant 5
Home Address Applicant 5
Home Telephone Applicant 5
Mobile Phone Applicant 5
Email Applicant 5
Profesion or Ocupation Applicant 5
Date of Birth Applicant 5

Corporate Membership Application Form

This Application is for Corporate Members Only

Corporate Membership Application Form

Proposer and Seconder of our Application

Corporate Members Only

Applicant 1

Applicant 2

Applicant 3

Applicant 4

Applicant 5