Please complete ALL relevant fields of this MEMBERSHIP enquiry form
Name
Address
Post Code
Email address
Home phone number
Business number
Mobile phone number
I was a member of Round Table (name)
Number
In Table I held the post of (1st post)
From - To
(2nd post)
From - To
(3rd post)
From - To
(4th post)
From - To
I was a member of (insert name of 41 Club)
From - To
In 41 Club I held the post of (1st post)
From - To
(2nd post)
From - To
(3rd post)
From - To
I would be interested in a Club in (insert location)
I am interested in learning more about opening a new 41 Club
I would just like to know more about 41 Club
Clicking this SUBMIT bu
tton
will send these details to the National Membership Officer
Please direct any queries to
admin@41club.org
or
membership@41club.org