Upstairs Social Membership Application

Invite Code

Enter your invite code first. The application form stays locked until the code is validated.

Invite code

Applicant

Title

First name

Last name

Preferred name

Date of birth

Gender

Nationality

Occupation

Contact

E-mail

Mobile

Telephone / landline

Address

Address 1

Address 2

Address 3

Town / City

County

Postcode

Country

Application

How did you hear about Upstairs Social?

Who introduced you to Upstairs Social?

Have you visited Upstairs Social before? Yes No

Do you know any current members other than the person who introduced you? Yes No

Why would you like to become a member of Upstairs Social?

Declarations

I consent to Upstairs Social storing and processing my application data for membership assessment. I understand membership is subject to review and is not guaranteed. I understand I will be required to produce ID and complete identity verification before membership can be granted. I agree to abide by the House Rules if my membership is accepted. Please tick here if you would prefer not to receive marketing or promotion information from us directly.

Signature

For online submission, type your full name in the Signed field; this acts as your electronic signature.

Signed (type full name)

Date

I agree that my typed name above is my electronic signature for this form.