Offline Joiner

Please be aware that members who are joined via the offline joining process are now required to make their first payment upfront in order to bring their account live and will have a debt status until this payment is made.

Staff Member Completing Form *

Membership Start Date *

Staff Member Name:

Your First Name *

Your Last Name *

Your Email *

Your Phone Number (Mobile) *

Date of Birth *

House Number/Name *

Postcode *

Bank Account Holder Name *

Sort Code *

Account Number *

Additional Notes:

Promo code if used:

Reason for offline joiner (e.g. error message example)