Prestige Club Application Form

 MEMBERSHIP TYPE
 
Gold Membership - BD 75.000
Gold Supplementary ( Spouse Only ) - BD 35.000
Classic Membership - BD 60.000
Classic Supplementary ( Spouse Only ) - BD 30.000
Confirm By: Fax Email
 
 PERSONAL INFORMATION
   
Title:  *
First Name:  *
Last Name:  *
Company Name
City:  *
Country:  *
Mobile:
Contact Phone No:
Contact Fax No:
Email Address:  *
Date of Birth : *  
Wedding Anniversary Date:   
Nationality:  *
Address: *
Comments:
   
   
   
 
(Note :- Fields marked with * sign are required)
 
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