Red Herring Wine Club Membership

Please consider my application for membership of The Red Herring Wine Club.

(BLOCK CAPITALS PLEASE)

MR / MRS / MS / MISS (OTHER) *  ..........................               (* delete as appropriate)

SURNAME .....................................................................................................................


CHRISTIAN NAMES .......................................................................................................

ADDRESS ......................................................................................................................

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                 Post Code:  .................................................................................................


TELEPHONE NO. (Home)  ............................................................................................

(Day-Time)                         ............................................................................................

(e-mail)                               ............................................................................................

AGE (please tick where appropriate)

18 - 25 _____ 26 - 33 ____ 34 - 39 _____ 40 - 50 _____ 51 - 59 _____ 60 & over _____


OCCUPATION   .............................................................................................................

HOW HAVE YOU HEARD OF THE CLUB?  ....................................................................

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HAVE YOU ANY CONNECTION WITH THE WINE AND SPIRIT TRADE?

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I AGREE TO BE BOUND BY THE RULES OF THE CLUB AND I AM OVER 18 YEARS OF AGE:

Signature ..................................................................................................................


Date .........................................................................................................................

All applications must be accompanied by the £19 Annual subscription.

Cheques made payable to "The Red Herring Wine Club" (personal, not business)

Please forward this form together with your Annual subscription to:

The Red Herring Wine Club

4 Church Road

Christian Malford

Chippenham

Wiltshire

SN15 4BW

PLEASE ENCLOSE A STAMPED ADDRESSED ENVELOPE

We do hope you wish to continue to enjoy your membership of the Red Herring Wine Club, and the chance to enjoy many varied tastings at reduced prices to Club Members, as well as our special wine offers.

Please either complete this form and forward it with your £19 subscription to the address below or renew your subscription electronically (see the news page of our website for details of how to pay and please inform the membership secretary at membership@redherringwineclub.co.uk).


Member's name: Mr / Mrs / Ms / Miss (Other) *   ................                            (* delete as applicable)

Surname:             ...................................................................................................................


Christian Names: ...................................................................................................................

Address:   ........................................................................................................................................

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                   Post Code:  ...................................................................................................................

Tel no: Home:                ..................................................................................................................

Work:                               ..................................................................................................................

Email:                              ...................................................................................................................

Do you belong to any club / organisation which might be suitable for a tasting or dinner venue (e.g. Pall Mall club, professional institute etc.)?
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Have you any special request for a wine tasting subject?

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Do you have any contacts for potential future venues, or any ideas / requests for future tastings ?

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Please send your cheque for £19 per person, made payable to The Red Herring Wine Club to:

The Red Herring Wine Club

4 Church Road

Christian Malford

Chippenham

Wiltshire

SN15 4BW