Name
Address Line 1
Address Line 2
Post code
Phone
Date of birth
Your email
I wish to become a member of 101 Social. If elected, I undertake to abide by the Rules of the Club, which I have read and understood.
As a member, I will be permitted up to three guests at a time.
I understand that the information I have provided will be stored in an electronic format only for the club’s use and not by any third parties.
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