Letter of Introduction

1
Your Name* This field is required.
First Name
Last Name
2
Your Details* This field is required.
Member Number
Phone Number
3
Your Email Address* This field is required.
example@example.com
4
Commencement date of travel:* This field is required.
Date
Year
Month
Day
5
Which country is the Reciprocal Club located in:* This field is required.
Australia
New Zealand
USA
Canada
South Africa
Asia
Chile
United Kingdom & France
6
Which Reciprocal Club in Australia would you like the LOI sent to?
Australian Club Sydney
Union, University and Schools Club
Australian Club Melbourne
Melbourne Club
Athenaeum Club
Sandhurst Club
Geelong Club
Newcastle Club
Adelaide Club
Commonwealth Club
Tasmanian Club
Launceston Club
Weld Club
7
Which Reciprocal Club in NZ would you like the LOI sent to?
Wellington Club
Nelson Club
Dunedin Club
Northern Club
Canterbury Club
Christchurch Club
Hawkes Bay Club
8
Which Reciprocal Club in the USA would you like the LOI sent to?
Cosmos Club
Metropolitan Club
Down Town Association
Union League Club Chicago
University Club of Chicago
9
Which Reciprocal Club in Canada would you like the LOI sent to?
Vancouver Club
National Club
Union Club of British Columbia
The Ranchmen's Club
10
Which Reciprocal Club in South Africa would you like the LOI sent to?
Cape Town Club
Rand Club
Victoria Country Club
Pretoria Club
Durban Club
11
Which Reciprocal Club in Asia would you like the LOI sent to?
Kobe Club
Hong Kong Club
The Tanglin Club
12
Which Reciprocal Club in Chile would you like the LOI sent to?
Club de la Union
13
Which Reciprocal Club in the United Kingdom/France would you like the LOI sent to?
Travellers Club Paris
New Club
Kildare Street and University Club
Carlton Club
East India Club
Athenaeum Club London
Calvary and Guards Club
Landsdowne Club
Oriental Club
Army and Navy Club
Naval and Military Club
Travellers Club London
The Farmers Club
14
NotesIs there anything else we need to know?
Should be Empty: