Membership Enquiry Form


Please complete ALL relevant fields of this TWINNING enquiry form
Contact Name
Address
Post Code
Email address
Home phone number		Business number
Mobile phone number

I am a member of 41 Club (name)		Region No.
We would be interested in twinning with a Club in (insert location)
We have (insert number)		Members
Our regular Club meeting day is the		in the month

Clicking this SUBMIT button will send these details to the International Officer

Please direct any queries to admin@41club.org or internetional@41club.org