Membership Application Form

I would like to join the Hampshire Dining Club.
I am providing the information below on the understanding that this information will remain private and will not be sold or provided to any other organisation, and is for the exclusive use of the Hampshire Dining Club.
Contact details only may be disclosed to other members but only with my express permission (verbal or written).

Please download and print the form below and complete.

Download as:-
  Word Document
  PDF Document

Send the form together with a cheque made payable to the 'Hampshire Dining Club' to:

The Hampshire Dining Club
298 Old Swanwick Lane
Lower Swanwick
SOUTHAMPTON
Hampshire
SO31 7GS

Data Protection Statement
The Hampshire Dining Club is registered under the Data Protection Act 1998 and takes its responsibilities regarding the protection of personal privacy very seriously. As such, you can rest assured that any personal data requested on the membership application form will be held and processed in accordance with the requirements of the 1998 Data Protection Act.