Application for Club Class Membership

Application for Club Class Membership
Date of Application*

DayMonthYear
Company Details
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sector*

AccountingArchitecture/ DesignBankingConstructionFinanceFood and beveragesGovernmentalHealth careICTIndustry/ ProductionLawLogistics and transportMarketing/ Communication/ PRReal estateRecruitmentResearch and developmentRetailTradeOther
Turnover
Are you registered for VAT?*

YesNo
VAT Number
Website
Main Contact Details
Full Name*

TitleFirst NameLast Name
Email Address*
Job Title*
Direct Line*

Country CodePhone Number
Mobile Number

Country CodePhone Number
Please indicate your main language.*

DutchEnglishFrenchOther
Please indicate which Social Media platforms you and/or your company uses.*

FacebookLinkedInTwitterYouTubeInstagramNoneOther
Other Relevant Contacts
Accounting: Same as main contact*

YesNo
Email Address
Data Protection Officer: Same as main contact*

YesNo
Email
example@example.com
CEO: Same as main contact*

YesNo
Email
example@example.com
Marketing Manager: Same as main contact*

YesNo
Email
example@example.com
UK Country Manager: Same as main contact

YesNo
Email
example@example.com
Responsible for Travel Arrangements: Same as main contact

YesNo
Email
example@example.com
Membership Agreement
As an individual/corporate Club Member you have exclusive access to all our events, our business network, and our four central London Club Houses with:

Business lounge with free computer use, free Wi-Fi, free beverages, free printing, free newspapers and more

Meeting rooms at discounted rates

Function rooms free or at discounted rates

Accommodation at discounted rates

Free gym facilities

Further access to 150 associated Clubs worldwide

Exclusive access to our four central London Club Houses

If you have opted for the postbox facilities *:

Mail and visits will be handled according to instructions specified by the client and the client will be responsible for all resulting forwarding and service charges. This agreement only applies to the company above and those persons named in the agreement (see further) and the BLCC is not under any obligation to provide the service to any other company/person and is not responsible for any mail or calls received for any others.

Please note that the BLCC warrants that in the event of a change of its London address, you shall be notified 6 months in advance from the date of the new address being effective.

Please note: Membership fees and related services are for one year from date of invoice.
Please select your Membership.*

Individual Membership - 575 GBP + 150 GBP joining fee + VATIndividual Membership - 690 EUR + 150 EUR joining fee + VATCorporate Membership - 2300 GBP + 150 GBP joining fee + VATCorporate Membership - 2750 EUR + 150 EUR joining fee + VAT
* Optional - Postbox address for correspondence purposes at Northumberland Avenue.

575 GBP + VAT per year690 EUR + VAT per year
Contact Details of your first and second contact in case mail arrives or there is a visit by an inspector or member of the public who want to contact you
Mail Contact 1

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Mail Contact 2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
How would you like us to forward post?

The BLCC are entitled to open, scan and email correspondence to one of the main contacts as indicated aboveWe would like the BLCC to forward correspondence by post once a week to the address given below
Please provide address
Please select the preferred type of payment.*

Electronic bank transferCredit cardDirect Debit/ Domiciliëring/ Prélèvement Automatique
If Direct Debit, please select payment frequency.

One-off lump sumQuarterlyMonthly
Did anyone recommend the BLCC to you? If so, please enter their name here:
If you have any comments or questions, please submit them here:
Please confirm your acceptance to the terms of our privacy policy - see footer of the BLCC website home page*

I agreeI do not agree
Should be Empty:

Application for Club Class Membership

Company Details

Main Contact Details

Other Relevant Contacts

Membership Agreement