Singles Dining Club
SINGLES DINING CLUB JOINING APPLICATION FORM

Please complete then print off the Joining Application Form below.
Sign the form, then send it with your cheque for £60 (made payable to N Joyce) to:

Singles Dining Club of Great Britain, 16 Hanover Square, Mayfair, London, W1S 1HT
Mr/Mrs/Miss/other
First Names:
Surname:
Permanent Address:

Postcode
Home telephone:
Work telephone:
E-mail address
Date of birth
Occupation
Marital status:
Is there any food/cuisine you particularly dislike?

DECLARATION
I have read and accept the Conditions of Membership and the Booking Conditions of the Singles Dining Club.
I enclose my membership fee of £60. I understand that renewal of membership will cost £30 per annum.

Applicants signature: ...............................................................................................................
Date: ................................................................