PERSONAL DETAILS

CIVILITY*:

Ms. Mr.

FIRST NAME*

LAST NAME*

EMAIL*

DATE OF BIRTH*

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PRIMARY ADDRESS

COUNTRY / REGION*

ADDRESS LINE 1*

ADDRESS LINE 2 (OPTIONAL)

CITY*

POSTCODE / ZIP*

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MEMBERSHIP REQUEST

MEMBERSHIP TYPE*

Select option

MEMBERSHIP TYPE

Night-Dweller — House Access Night-Dweller — Full Season Night-Dweller — Full House

PRIMARY CITY (WHERE YOU’LL USE IT MOST)*

Introduction fee is capped at €1,000 and will be converted to member credit.

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PROFILE

COUNTRY CODE*

MOBILE NUMBER*

HOW DO YOU IDENTIFY YOURSELF?*

UPLOAD A CLEAR PHOTO OF YOUR FACE*

Square format is preferable. JPG/PNG up to 5MB.

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YOUR WORK

WHERE DO YOU WORK?*

TYPE OF WORK*

ROLE*

WORK EMAIL (OPTIONAL)

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ABOUT YOU

WHY ARE YOU INTERESTED IN BECOMING A MEMBER?*

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REFERRALS

Apply without a referral

REFERRAL — FULL NAME (OPTIONAL)

REFERRAL — EMAIL (OPTIONAL)

Referrals are not required, but they may improve your chance of acceptance.

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TERMS

Please confirm you have read and accept the membership rules and conditions.

I agree to the Maison Sanguine membership rules and Terms & Conditions.*

I agree that my data will be processed in accordance with Maison Sanguine Personal Data Protection Policy.*

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PAYMENT

Enter your billing details to complete your request.

CARDHOLDER NAME*

BILLING EMAIL*

BILLING COUNTRY*

BILLING POSTCODE*

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