Join Form 1 Membership 2 Your details 3 Address 4 Payment Membership*Please choose the membership level you requireIndividual - £44.25Family - £84.00Concession (student/unemployed) - £38.75Over-65 - £21.75Supporting members*Please enter the names of two existing members who have agreed to support your application1st Supporting member2nd Supporting member Please enter your details.Name* First Last Email* Date of Birth* PhoneFamily details (if applicable)If you have opted for family membership please enter your partner's details and the number of children you would like to be members:Partner's name First Last Partner's email Partner's Date of Birth # Children who will be members012345 Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Limitation of Club Liability*Membership of the club is conditional to your agreeing to abide by the rules of the club as laid down by the committee. Members of the club and their guests may use the club premises and any other facilities of the club entirely at their own risk and accept that the club... Will not accept liability for any damage or loss of property from club premises belonging to members or their guests. Will not accept liability for personal injury arising in the club premises, whether or not such damage or injury could have been attributed to or was occasioned by the neglect, default or negligence of any of the officers or committee of the club. I agree to abide by the rules of the club. I have read and understand the limits of club liability. I understand that, if accepted, the information on this form will be held securely on the clubs computerised address list. I understand and accept the above Once you press 'submit' you will be redirected to GoCardless to set up a direct debit. Payment will be taken once the Membership Secretary has reviewed your application, usually within a 7 days. Membership is automatic for applicants living within the M25, but at the committee‘s discretion for those outside.