test application

I wish to be elected an INDIVIDUAL/FAMILY/LIFE Member of Marden’s Club

Type of Membership *

Individual
Family
Life

Title

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telephone (preferably Mobile) *

Email *

Please add the names and email addresses of your Proposer and Seconder below. They will then be emailed and invited to endorse your application. Your proposer and seconder must both be members of Marden’s Club and have known you for 2 years or more. They should not be related to you nor to each other.

Proposed by: *

First

Last

Proposer Email *

Seconded by: *

First

Last

Seconder Email *

Please confirm that you have a UK bank account from which you will be able to pay your annual subscription. If you do not then we will send you the UBS bank details to set up your Direct Debit in Switzerland.

I have a UK bank account. *

Family Membership £75 or CHF 125.-
Individual Membership £ 30 or CHF 50.-
Life Membership £ 750 or CHF 1,250.-

I consent to Marden's Club collecting my name, email and other personal data and those of my Proposer and Seconder in order to consider my application for membership of Marden's Club *