Application for Membership

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2 Set in the heart of Mayfair, just off Berkeley Square, the Lansdowne Club is a private Members Club, where men and women have always been welcomed with equal status. The Club combines its rich history with modern day comfort and technology, providing social, sporting, business and residential facilities in the setting of 18th century grandeur and the elegance of Art Deco.

3 Please complete in BLOCK CAPITALS Section1- Registration Fee Application for Membership In order to join the waiting list for Membership, a registration fee of 100 is required on submission of your application by cheque or credit/debit card. I wish to pay by the registration fee by (please tick): Cheque (please enclose cheque payable to Lansdowne Club Limited ) Credit/debit card (please provide card details in Section 9) Please note that the 100 registration fee is non-refundable; however if you are elected it will count towards the entrance fee payable. Section 2 - Personal Details Surname: All fields are mandatory Mr/Mrs/Miss/Ms/Title/Rank: First Name(s): Honours/Decorations: Date of Birth: Home Address: Nationality: Marital Status: Home Tel: Mobile: Postcode: for official use only Membership Number: Category: Date complete application received:

4 Section 3 - Professional Details All fields are mandatory Please complete all fields, answering N/A where not applicable Company Name: Nature of Business: Job Title: Company Address: School(s): Universities: Postcode: Work Tel: Work Company Website: Section 4 - Membership Category 4.1 Please state which Membership category you are applying for. Please tick one only. Town (Applicants with a residence within 50 miles of the Lansdowne Club as the crow flies) Country (Applicants with a UK residence that is not within 50 miles of the Lansdowne Club as the crow flies) Overseas (Applicants with no residence in the UK) 1824 (Applicants between the age of 18 and 24 inclusive) Junior (Applicants between the age of 12 and 17 inclusive) 4.2 Applicants for Town, Country and Overseas Membership only Please state whether you are applying for a Single or Joint Membership (applicants applying to join their spouses existing Membership, please tick Joint). Single Joint (Applicants who are married or in a civil partnership)

5 Section 5 - General Information 5.1 Have you been a Member of the Club, or applied for Membership before? If so, please give approximate dates. 5.2 Please give details of any other club Memberships. Past: Present: 5.3 Please list any clubs and societies of which you are a Member. 5.4 Why do you wish to join the Lansdowne Club? (Please provide as much detail as possible)

6 Section 6 - Activities and Interests 6.1 To help us better understand your interests and how you would wish to use the Club, please tick any of the options below which apply to you. More information about activities and facilities that are currently available can be found on our website. Club Social Scene Scottish Reeling Bridge Under 35 s Events Book Club Arts Group Debating Society Garden Group Club Supper Private Parties & Events Choir Dance Lessons Gala Events Mixology Classes Piano Recitals Theatre/Exhibition/Gallery Excursions Dining and Bars Fine Dining Family Sunday Lunch Televised Sporting Events Sports Club/ Team Suppers & Socials International Themed Cuisine Live Music & Dining Health foods/nutritional Products Seasonal & Festive Dining Premium Spirits & Wines Cocktails Artisan Beers Speciality & Fine Teas Afternoon Tea Wine Tasting Happy Hour Sports Gym Swimming Swimming Squad Personal Training Fitness Classes Fencing Physiotherapy Squash Squash League & Ladder Massage Holistic Treatments Beauty Treatments Running club Triathlon Training Ski Training Golf Tennis Sailing Rowing Horse Racing

7 Accommodation Midweek (Monday - Thursday inclusive) Never Rarely Weekend (Friday, Saturday & Sunday inclusive) Never Rarely per year) Occasionally per year) Occasionally per month) Regularly per month) Regularly per week) per week) Business Business Centre Private Meetings Private Dining Networking Breakfasts Private Business Events (Seminars, Conferences, Exhibitions etc.) Corporate/Client Entertainment Interests and activities are available for Members subject to demand 6.2 If you have any further interests or activities that you would like to see available at the Club, please make your suggestions here. Section 7 - Membership Payments 7.1 Applicants for Town and Country Membership only The entrance fee and first year s subscription will be taken by direct debit upon notification of your election. Membership subscriptions will be renewed annually by direct debit on the anniversary of your Membership start date. Members will be informed each year of any changes to subscription rates. 7.2 Applicants for Overseas Membership only The entrance fee and first year s subscription is required up front together with your application by providing credit/debit card details or a cheque. Payment will not be taken until you have been notified of your election. I wish to pay the entrance fee and first year s subscription by (please tick): Cheque (please enclose cheque payable to Lansdowne Club Limited ) Credit/debit card (please provide card details in Section 9) Subsequent annual subscriptions should be paid again by cheque or credit card and a reminder will be sent to you when these fees are due. If you hold a UK bank account, you may pay your annual subscription by direct debit. To set up this facility please contact the Membership Department.

8 7.3 Applicants for 1824 Membership only The entrance fee is required up front together with your application by providing credit/ debit card details or a cheque. Payment will not be taken until you have been notified of your election. I wish to pay the entrance fee by (please tick): Cheque (please enclose cheque payable to Lansdowne Club Limited ) Credit/debit card (please provide card details in Section 9) Section 8 - Member Charge Accounts and Club Credit Applicants for Town,Country and 1824 Membership only.* Upon election, Town, Country and 1824 Members will be set up with a Member Charge Account which will allow any Club charges to be added to their Membership card. Members with a Member Charge Account are then to pay outstanding Club charges by monthly direct debit. Please choose one of the following options: I wish to use the same direct debit mandate for both my Membership subscription and Member Charge Account I wish to use a different direct debit mandate to my Membership subscription for my Member Charge Account (please complete an additional direct debit form and enclose a cover note stating which is to be used for a Member Charge Account) Following election, Town and Country Members will be charged an additional 100 taken by direct debit which will be credited to their Member Charge Account. The Lansdowne Club will contribute a further 25, this providing 125 available to spend in the Club s bars and dining outlets only. This is not applicable for 1824 members. * Applicants for Overseas Membership, who would like to set up a Member Charge Account, please contact the Membership department before submitting your application.

9 Section 9 - Credit/Debit Card Details Name as it appears on card: Type of card: Card number: Expiry date: Security code: * Please note we do not accept American Express Card payments Section 10 - Declarations 10.1 All Applicants I desire to be elected by The Council as a Member of the Club. Should I be elected, I undertake to abide by the Rules & By-Laws of the Club. I understand that election will be for one year but it will be presumed that all members desire to stand for re-election annually in the classes appropriate to their age unless they have given due notice of resignation. I agree to pay a registration fee of 100 on submission of my application. I confirm that if I am applying for a Joint Membership, I am married or in a civil partnership. If I am applying for Country Membership I have no residence of any description (owned, rented, shared, company) within 50 miles of the Lansdowne Club. If I am applying for Overseas Membership I have no residence of any description (owned, rented, shared or company) within the UK. Signed Date 10.2 Applicants for Town and Country Membership only I understand that I am required to pay for my entrance fee and annual subscription by direct debit following notification to me of my election. I understand that I must renew my Membership subscription annually by direct debit on the anniversary of my Membership start date. I also understand that once elected a Member of the Club, I will be set up with a Member Charge Account and be charged 100 by direct debit which will be added as credit. I understand that the Lansdowne Club will contribute a further 25 which will provide me with a total of 125 credit to spend in the Club s bars and dining outlets only. Signed Date Please attach passport sized photograph here

10 Be a friend Lansdowne Mayfair Join in The Lansdowne Club

11 Application for Spousal Membership This form is to be completed by applicants for Spousal Membership applying at the same time as their partner only. Please complete in BLOCK CAPITALS Section 1 - Personal Details Surname: All fields are mandatory Mr/Mrs/Miss/Ms/Title/Rank: First Name(s): Honours/Decorations: Date of Birth: Home Address: Nationality: Marital Status: Home Tel: Mobile: Postcode: Section 2 - Professional Details All fields are mandatory Please complete all fields, answering N/A where not applicable Company Name: Nature of Business: Job Title: Company Address: School(s): Universities: Postcode: Work Tel: Work Company Website: for official use only Membership Number: Category: Date complete application received:

12 Section 3 - Membership Category 3.1 Please state which Membership category you are applying for. Please tick one only. Town (Applicants with a residence within 50 miles of the Lansdowne Club as the crow flies) Country (Applicants with a UK residence that is not within 50 miles of the Lansdowne Club as the crow flies) Overseas (Applicants with no residence in the UK) Section 4 - General Information 4.1 Have you been a Member of the Club, or applied for Membership before? If so, please give approximate dates. 4.2 Please give details of any other club Memberships. Past: Present: 4.3 Please list any clubs and societies of which you are a Member. 4.4 Why do you wish to join the Lansdowne Club?

13 Section 5 - Activities and Interests 5.1 To help us better understand your interests and how you would wish to use the Club, please tick any of the options below which apply to you. More information about activities and facilities that are currently available can be found on our website. Club Social Scene Scottish Reeling Bridge Under 35 s Events Book Club Arts Group Debating Society Garden Group Club Supper Private Parties & Events Choir Dance Lessons Gala Events Mixology Classes Piano Recitals Theatre/Exhibition/Gallery Excursions Dining and Bars Fine Dining Family Sunday Lunch Televised Sporting Events Sports Club/ Team Suppers & Socials International Themed Cuisine Live Music & Dining Health Foods/Nutritional Products Seasonal & Festive Dining Premium Spirits & Wines Cocktails Artisan Beers Speciality & Fine Teas Afternoon Tea Wine Tasting Happy Hour Sports Gym Swimming Swimming Squad Personal Training Fitness Classes Fencing Physiotherapy Squash Squash League & Ladder Massage Holistic Treatments Beauty Treatments Running club Triathlon Training Ski Training Golf Tennis Sailing Rowing Horse Racing Accommodation Midweek (Monday - Thursday inclusive) Never Rarely Weekend (Friday, Saturday & Sunday inclusive) Never Rarely per year) Occasionally per year) Occasionally per month) Regularly per month) Regularly per week) per week)

14 Business Business Centre Private Meetings Private Dining Networking Breakfasts Private Business Events (Seminars, Conferences, Exhibitions etc.) Corporate/Client Entertainment Interests and activities are available for Members subject to demand. 5.2 If you have any further interests or activities that you would like to see available at your Club, please provide more information here. 6. Declaration I desire to be elected by The Council as a Member of the Club. Should I be elected, I undertake to abide by the Rules & By-Laws of the Club. I confirm that I am married or in a civil partnership. If I am applying for Country Membership I have no residence of any description (owned, rented, shared or company) within 50 miles of the Lansdowne Club. If I am applying for Overseas Membership I have no residence of any description (owned, rented, shared, company) within the UK. Signed Date Please attach passport sized photograph here Be a friend Lansdowne Mayfair Join in The Lansdowne Club

15 Proposer Form This form is to be completed by the applicant s proposer. Once completed, proposers must return this form to the applicant so that they can submit it as part of their complete application. Your details: Membership No: First Name(s): Applicant s details: Title: Surname: Home Address: First Name(s): Surname: Tel Number: Postcode: Mobile Number: 1.What is your relationship with the applicant? 2. How long have you personally known the applicant? (not applicable where the applicant is your relative) 3. What is your opinion as to why the applicant is suitable for Membership of the Club? To propose a Member you must be prepared to accept full responsibility for their conduct and behaviour while on Club premises. I agree to the above and confirm that the information provided is true and accurate: Signed Date 50 vouchers are offered to proposers for each subsequently elected Member. Vouchers will not be issued to Members who are proposed for the following categories: Junior, 1824, or for partners proposed to form a Joint Membership. Proposers and seconders must also be from a Membership category other than Junior and 1824 and they must have been a Member for at least a year.

16 Seconder Form This form is to be completed by the applicant s seconder. Once completed, the seconder must return the form to the applicant so that they can submit it as part of their complete application. Your details: Membership No: First Name(s): Surname: Applicant s details: Title: Surname: Home Address: First Name(s): Tel Number: Postcode: Mobile Number: 1.What is your relationship with the applicant? 2. How long have you personally known the applicant? (not applicable where the applicant is your relative) 3. What is your opinion as to why the applicant is suitable for Membership of the Club? I confirm that the information provided is true and accurate: Signed Date Proposers and seconders must be from a Membership category other than Junior and 1824 and they must have been a Member for at least a year

17 Membership Application Checklist This form must be returned by post together with all of the completed documents to: Membership, The Lansdowne Club, 9 Fitzmaurice Place, Mayfair, London W1J 5JD, UK. Please find below a checklist of all of the documents required in order to submit a complete application. Place a tick against each completed document enclosed within your application pack. Application Form(s) Proposer form Seconder form Cheque or credit/debit card details for the 100 registration fee Passport Sized photograph Please indicate the form of payment which is applicable to your Membership category and ensure the relevant details have been completed on the forms. Direct debit form(s) for Membership Payments and Member Charge Account (Applicants for Town and Country Membership) Direct debit form(s) for Member Charge Account (Applicants for 1824 Membership) Cheque or credit/debit card details for the entrance fee, first year s subscription (Applicants for Overseas Membership) Cheque or credit/debit card details for the entrance fee (Applicants for 1824 Membership) None of the above (Applicants for Junior Membership) It is the responsibility of the applicant to ensure that all of the required documents are submitted. We kindly ask that you do not submit your application until it is complete. Incomplete applications will not be added to the waiting list. I declare that all of the required documents have been enclosed. Signed Date

18 Membership Rates 2018/2019 SINGLE JOINT 1 Town Membership Entrance fee Annual Subscription Entrance fee Annual Subscription Over 66 1, , Under 66 1, ,800 1,220 Under 35 1, , Under 30 1, , Country Membership 2 Over 66 1, , Under 66 1, , Under 35 1, , Under 30 1, , Overseas Membership 3 Over 66 1, , Under 66 1, , Under 35 1, , Under 30 1, , Junior Membership Club Under Subscription rates are effective from 1st April st March Joint Membership is applicable for couples who are married or who have entered into a civil partnership 2 Country Membership is applicable when Members have no residence within 50 miles as the crow flies of The Lansdowne Club. Serving Officers in H.M Forces pay Country rates 3 Overseas Membership is applicable when Members have no residence within the UK Membership is available to anyone joining the Club between the ages of 18 and 24 years inclusive 5 Under 18 Membership is available to dependents of existing Members who are between the ages of 12 and 17 inclusive All Members with a UK bank account must pay by variable Direct Debit (Rule and Bye-Law7(h))

19 The Lansdowne Club Instruction to your bank or building Society to pay by Direct Debit Please fill in the whole form using a ball point pen and send it to: The Subscriptions Secretary The Lansdowne Club 9 Fitzmaurice Place London W1J 5JD Name(s) of account holder(s) Service user number Reference Bank/building society account number Instruction to your bank or building society Please pay Lansdowne Club Ltd. Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Lansdowne Club Ltd. and, if so, details will be passed electronically to my bank/building society. Branch sort code Name and full postal address of your bank or building society To: The Manager Bank/building society Address Signature(s) Postcode Date Banks and building societies may not accept Direct Debit Instructions for some types of account DDI2 This guarantee should be detached and retained by the payer. The Direct Debit Guarantee This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits If there are any changes to the amount, date or frequency of your Direct Debit Lansdowne Club Ltd. will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Lansdowne Club Ltd. to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Lansdowne Club Ltd. or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society If you receive a refund you are not entitled to, you must pay it back when Lansdowne Club Ltd. asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

20 The Lansdowne Club Instruction to your bank or building Society to pay by Direct Debit Please fill in the whole form using a ball point pen and send it to: The Subscriptions Secretary The Lansdowne Club 9 Fitzmaurice Place London W1J 5JD Name(s) of account holder(s) Service user number Reference Bank/building society account number Instruction to your bank or building society Please pay Lansdowne Club Ltd. Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Lansdowne Club Ltd. and, if so, details will be passed electronically to my bank/building society. Branch sort code Name and full postal address of your bank or building society To: The Manager Bank/building society Address Signature(s) Postcode Date Banks and building societies may not accept Direct Debit Instructions for some types of account DDI2 This guarantee should be detached and retained by the payer. The Direct Debit Guarantee This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits If there are any changes to the amount, date or frequency of your Direct Debit Lansdowne Club Ltd. will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Lansdowne Club Ltd. to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Lansdowne Club Ltd. or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society If you receive a refund you are not entitled to, you must pay it back when Lansdowne Club Ltd. asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

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