ABOUT YOU

Your Name* (Title, Forename & Surname)

Home Address*

Postcode*

Country*

Home Phone

Mobile*

Your Email*

Date of Birth*

Company Name

Company Address

Postcode

Country

Type of Business

Number of Years in Business
 

Startup

Hobbies and Interests

Live MusicFilmFood & WineSportsGolfTravelOther (Please Specify Below)

Personal Assistant (if applicable)

Personal Assistant Name (Title, Forename & Surname)

Personal Assistant Phone

Personal Assistant Email

APPLICATION SUBMISSION

Type of membership you are applying for:

Part TimeFull TimeBusiness PlusInternationalCorporate

DEPOSIT

All membership applications require a deposit of 1 month in advance to secure membership which can be paid by bank transfer or credit/debit card.

USING HQ

Generally how often do you think you will use the Club?

Frequently (2-3 days a week)Sometimes (4-5 days a month)Occasionally (1-2 days a month)

How often do you think you will hold meetings or invite guests?

Frequently (2-3 days a week)Sometimes (4-5 days a month)Occasionally (1-2 days a month)

How did you hear about us?
PressMailingEventSearch EngineClub VisitMember RecommendationWord of MouthE-MarketingOther (Please Specify Below)

MEMBERSHIP FEES

Your preferred payment method:
Bank TransferCredit/Debit Card

Club Expenditures

We require all members to set up a direct credit/debit card account on file. All club expenditure will be charged to this account and deducted from the nominated card.

YOUR MEMBERSHIP PROPOSER (If applicable)

Name

(Contact us if you don't know a member so that we can help you)

PROOF OF ADDRESS

Please provide a proof of your home address (utility bill/driving licence) - pdf, jpeg, png, word doc

Before submitting your application please ensure that you have completed all parts of this form.

When we receive your application the club's membership team will contact you to confirm if your application has been successful.

"I hereby apply for Membership at The HQ, The Colony, Wilmslow. I have read and understood the costs of membership." Terms of Use are subject to change without prior notice.

Your Name*

Today's Date* (In Format 31/12/2017)

Please contact us at enquiries@thecolonyhq.co.uk or telephone 01625 254000.

*Required Fields