To become a member please complete the form below or complete the e-mail form and send. MEMBERSHIP FORM DUES AND FEES 1. U.K., Europe, North America, Australia, New Zealand, Japan and the Arabian Gulf: a. Individuals: £15.00 per annum b. Business: £50.00 per annum c. Students, Pensioners and those on welfare: £10.00 per annum 2. Asia, Africa, South America, East Europe Others: a. Individuals: £ 2.00 b. Business: £20.00 c. Students: £ 1.00 NAME:_______________________________________________________________________ ADDRESS:____________________________________________________________________ ______________________________________________________________________________ CITY:_________________POST/ZIP CODE:_________________ COUNTRY:_________________________________________________ TELEPHONE:______________________FAX:____________________ E-MAIL:______________________________________________ I would like to join the Global Club International as (please tick one): ________________National Representative _______________ Regional Representative _______________ Member Please find enclosed the payment of _____________________ as my membership fee ________Yearly ________10 Years ________Lifetime________Student Please make cheques payable to "Global Club International" and send to: 18, Bannockburn Road, London SE18 1ES, United Kingdom
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