APPLICATION FOR MEMBERSHIP

Please ensure that your application is complete and includes the following:

1. Membership fee 2. One-off joining fee 3. Proof of age (under 30s applicants only) 4. Proposer’s name

MEMBERSHIP TYPE

Full Membership £1000 (incl. a nominated spouse)

Under 30’s Membership £500

International Membership £700

Corporate Membership £3500

I have a proposer who is an existing member of the club

APPLICATION FOR MEMBERSHIP

All membership types incur a joining fee see page 3

*Signing up via our Direct Debit scheme will renew your

annual membership automatically each year and may

entitle you to additional benefits as arranged by the

management of the Club, subject to terms & conditions.

PERSONAL DETAILS

TITLE: FIRST NAME: SURNAME:

DATE OF BIRTH: NATIONALITY:

HOME ADDRESS:

POSTCODE: COUNTRY:

TELEPHONE: MOBILE:

PERSONAL EMAIL:

We offer joint membership to a nominated spouse, with all full memberships.

SPOUSE’S FULL NAME:

SPOUSE’S DATE OF BIRTH: SPOUSE’S EMAIL:

WORK DETAILS

COMPANY NAME:

NATURE OF BUSINESS:

JOB TITLE:

WORK ADDRESS:

POSTCODE: COUNTRY:

TELEPHONE: MOBILE:

WORK EMAIL: WEBPAGE:

PA NAME: PA EMAIL:

PREFERRED ADDRESS FOR POSTAL CORRESPONDENCE:

HOME

WORK

PREFERRED ADDRESS FOR EMAIL CORRESPONDENCE:

HOME

WORK

I hereby apply for membership to Morton’s Club. If elected, I agree to be bound by the rules of the club. The club rules are available on request

and at www.mortonsclub.com

PRINT NAME: SIGNATURE: DATE:

All information shall be treated in the strictest of confidence. Morton’s Club will retain all personal information submitted by you. We will not disclose any of your personal information to third parties without your consent. Morton’s Club is part of the Marlon Abela Restaurant Corporation

MARC www.marcrestaurants.com PROPOSER (PRINT NAME): MORTON’S MANAGEMENT SIGNATURE:

APPLICATION FOR MEMBERSHIP

INTENDED CLUB USE

Bar Restaurant lunch dinner Corporate Entertainment Private Events

INTERESTS & EVENTS Social Networking Sporting Events Food Events Wine Events Art Events Fashion Events Lifestyle Events Nightlife

MEMBERSHIP & JOINING FEES

All membership fees are taken annually in advance and a one-off joining fee is applicable to all membership types. ONE-OFF JOINING FEES FULL & CORPORATE MEMBERSHIP £500 INTERNATIONAL & UNDER 30S MEMBERSHIP £300

Under 30s membership rates are valid until the member’s 30th birthday. Upon the next renewal date the membership rate will increase to the full

membership fee. International membership rates are applicable to those members whose permanent address is outside of the UK (Direct Debit option not available) Corporate rates shall be applicable to companies that join a minimum of 5 people.

All rates and memberships allow full access to the club during opening hours.

PAYMENT BY CREDIT/DEBIT CARD TYPE OF CARD:

VISA

ACCESS/MASTERCARD

AMEX

SWITCH/MAESTRO

DINERS

NAME AS APPEARS ON CARD:

CARD NUMBER:

3-DIGIT SECURITY CODE: START DATE:

EXPIRY DATE: ISSUE NO:

SIGNATURE: DATE: