Set in the heart of Mayfair, just off Berkeley Square, the Lansdowne Club is a private Members’ Club, where men and women have always been welcomed with equal status.

The Club combines its rich history with modern day comfort and technology, providing social, sporting, business and residential facilities in the setting of 18th century grandeur and the elegance of Art Deco.

Application for Membership

Please complete in BLOCK CAPITALS

Section 1- Registration Fee

In order to join the waiting list for Membership, a registration fee of £100 is required on submission of your application by cheque or credit/debit card.

I wish to pay the registration fee by (please tick):

Cheque (please enclose cheque payable to ‘Lansdowne Club Limited’)

Credit/debit card (please provide card details in Section 9)

Please note that the £100 registration fee is non-refundable; however if you are elected it will count towards the entrance fee payable.

Section 2 - Personal Details All fields are mandatory

Surname: Mr/Mrs/Miss/Ms/Title/Rank:

First Name(s):

Honours/Decorations:

Date of Birth: Nationality:

Home Address: Marital Status:

Home Tel:

Mobile:

Postcode: Email:

for official use only

Membership Number: Date complete application received:

Category:

Section 3 - Professional Details All fields are mandatory

Company Name:

Nature of Business:

Job Title:

Company Address: Secondary School:

Universities:

Postcode:

Work Tel: Work Email:

Company Website:

Section 4 - Membership Category

4.1 Please state which Membership category you are applying for. Please tick one only.

Town (Applicants with a residence within 50 miles of the Lansdowne Club as the crow flies)

Country (Applicants with a UK residence that is not within 50 miles of the Lansdowne Club as the crow flies)

Overseas (Applicants with no residence in the UK)

1824 (Applicants between the age of 18 and 20 inclusive)

Junior (Applicants between the age of 12 and 17 inclusive)

4.2 Applicants for Town, Country and Overseas Membership only

Please state whether you are applying for a Single or Joint Membership (applicants applying to join their spouses existing Membership, please tick Joint).

Single

Joint (Applicants who are married or in a civil partnership)

Section 5 - General Information

5.1 Have you been a Member of the Club, or applied for Membership before? If so, please give approximate dates.

5.2 Please give details of any other Club Memberships.

Past:

Present:

5.3 Please list any Clubs and Societies of which you are a Member.

5.4 Why do you wish to join the Lansdowne Club? (Please provide as much detail as possible)

Section 6 - Activities and Interests

6.1 To help us better understand your interests and how you would wish to use the Club, please tick any of the options below which apply to you.

More information about activities and facilities that are currently available can be found on our website.

Club Social Scene

Scottish Reeling Bridge Under 35’s Events

Book Club Arts Group Debating Society

Garden Group Club Supper Private Parties & Events

Choir Dance Lessons Gala Events

Mixology Classes Piano Recitals Theatre/Exhibition/Gallery Excursions

Dining and Bars

Fine Dining Family Sunday Lunch Televised Sporting Events

Sports Club/ Team Suppers & Socials

Live Music & Dining Seasonal & Festive Dining

International Themed Cuisine

Health foods/Nutritional Products

Premium Spirits & Wines

Cocktails Artisan Beers Speciality & Fine Teas

Afternoon Tea Wine Tasting Happy Hour

Sports

Gym Swimming Swimming Squad

Personal Training Fitness Classes Fencing

Physiotherapy Squash Squash League & Ladder

Massage Holistic Treatments Beauty Treatments

Running club Triathlon Training Ski Training

Golf Tennis Sailing

Rowing Horse Racing

Accommodation

Midweek (Monday - Thursday inclusive) Never Rarely (approx. ≥ once

per year) Occasionally (approx. ≥ onceper month) Regularly (approx. ≥ once

per week)

Weekend (Friday, Saturday & Sunday inclusive)

Never Rarely (approx. ≥ onceper year) Occasionally (approx. ≥ once

per month) Regularly (approx. ≥ once per week)

Business

Business Centre Networking Breakfasts

Private Meetings Private Business Events (Seminars, Conferences, Exhibitions etc.)

Private Dining Corporate/Client Entertainment

Interests and activities are available for Members subject to demand

6.2 If you have any further interests or activities that you would like to see available at the Club, please make your suggestions here.

Section 7 - Membership Payments

7.1 Applicants for Town and Country Membership only

The entrance fee and first year’s subscription will be taken by Direct Debit upon notification of your election.Membership subscriptions will be renewed annually by Direct Debit on the anniversary of yourMembership start date. Members will be informed each year of any changes to subscription rates.

7.2 Applicants for Overseas Membership only

The entrance fee and first year’s subscription is required upfront together with your application byproviding credit/debit card details or a cheque. Payment will not be taken until you have beennotified of your election.

I wish to pay the entrance fee and first year’s subscription by (please tick):

Cheque (please enclose cheque payable to ‘Lansdowne Club Limited’)

Credit/debit card (please provide card details in Section 9)

Subsequent annual subscriptions should be paid again by cheque or credit/debit card and a reminder will be sent to you when these fees are due. If you hold a UK bank account, you may pay your annual subscription by Direct Debit. To set up this facility please enclose a completed Direct Debit mandate.

7.3 Applicants for 1824 Membership only

The entrance fee is required upfront together with your application by providing credit/debit carddetails or a cheque. Payment will not be taken until you have been notified of your election.

I wish to pay the entrance fee by (please tick):

Cheque (please enclose cheque payable to ‘Lansdowne Club Limited’)

Credit/debit card (please provide card details in Section 9)

Section 8 - Member Charge Accounts and Club Credit

Applicants for Town, Country and 1824 Membership only*

Upon election, Town, Country and 1824 Members will be set up with a Member Charge Account which will allow any Club charges to be added to their Membership card. Members with a Member Charge Account are then to pay outstanding Club charges by monthly direct debit.Please choose one of the following options:

I wish to use the same Direct Debit mandate for both my Membership subscription and Member Charge Account

I wish to use a different Direct Debit mandate to my Membership subscription for my Member Charge Account (please complete an additional Direct Debit form and enclose a cover

note stating which is to be used for a Member Charge Account)

Following election, Town and Country Members will be charged an additional £100 taken by DirectDebit which will be credited to their Member Charge Account. The Lansdowne Club will contributea further £25, thus providing £125 available to spend in the Club’s bars and dining outlets only. This is not applicable for 1824 members.*Applicants for Overseas Membership, who hold a UK bank account may also set up a Member Charge Account by enclosing a completed Direct Debit mandate with this application.

Section 9 - Credit/Debit Card Details

Name as it appears on card:

Type of card: Expiry date:

Card number: Security code:

*Please note we do not accept American Express card payments.

Section 10 - Declarations

10.1 All Applicants

I desire to be elected by the Council as a Member of the Club. Should I be elected, I undertake toabide by the Rules & Bye-Laws of the Club. I understand that election will be for one year but it will be presumed that all Members desire to stand for re-election annually in the classes appropriate to their age unless they have given due notice of resignation at least one month prior to their renewal date.

I agree to pay a registration fee of £100 on submission of my application.

I confirm that if I am applying for a Joint Membership, I am married or in a civil partnership. If I amapplying for Country Membership I have no residence of any description (owned, rented, shared,company) within 50 miles of the Lansdowne Club. If I am applying for OverseasMembership I have no residence of any description (owned, rented, shared or company) within the UK.

Signed Date

10.2 Applicants for Town and Country Membership only

I understand that I am required to pay for my entrance fee and annual subscription by Direct Debitfollowing notification to me of my election. I understand that I must renew my Membershipsubscription annually by Direct Debit on the anniversary of my Membership start date. I also understand that once elected a Member of the Club, I will bet set up with a Member Charge Account and charged £100 by Direct Debit which will be added as a credit to my account. I understand that the Lansdowne Club will contribute a further £25 which will provide me with a total of £125 credit to spend in the Club’s bars and dining outlets only.

Signed Date

Please attach passport sized

photograph here

9 Fitzmaurice Place, Mayfair, London, W1J 5JD

www.LansdowneClub.comT: +44 (0)20 7318 6160

Membership@LansdowneClub.com

Application for Spousal Membership

This form is to be completed by applicants for Spousal Membership applying at the same time as their partner only.

Please complete in BLOCK CAPITALS

Section 1 - Personal Details All fields are mandatory

Surname: Mr/Mrs/Miss/Ms/Title/Rank:

First Name(s):

Honours/Decorations:

Date of Birth: Nationality:

Home Address: Marital Status:

Home Tel:

Mobile:

Postcode: Email:

Section 2 - Professional Details All fields are mandatory

Please complete all fields, answering N/A where not applicable

Company Name:

Nature of Business:

Job Title:

Company Address: Secondary School:

Universities:

Postcode:

Work Tel: Work Email:

Company Website:

for official use only

Membership Number: Date complete application received:

Category:

Section 3 - Membership Category

3.1 Please state which Membership category you are applying for. Please tick one only.

Town (Applicants with a residence within 50 miles of the Lansdowne Club as the crow flies)

Country (Applicants with a UK residence that is not within 50 miles of the Lansdowne Club as the crow flies)

Overseas (Applicants with no residence in the UK)

Section 4 - General Information

4.1 Have you been a Member of the Club, or applied for Membership before? If so, please give approximate dates.

4.2 Please give details of any other Club Memberships.

Past:

Present:

4.3 Please list any Clubs and Societies of which you are a Member.

4.4 Why do you wish to join the Lansdowne Club?

Section 5 - Activities and Interests

5.1 To help us better understand your interests and how you would wish to use the Club, please tick any of the options below which apply to you.

More information about activities and facilities that are currently available can be found on our website.

Club Social Scene

Scottish Reeling Bridge Under 35’s Events

Book Club Arts Group Debating Society

Garden Group Club Supper Private Parties & Events

Choir Dance Lessons Gala Events

Mixology Classes Piano Recitals Theatre/Exhibition/Gallery Excursions

Dining and Bars

Fine Dining Family Sunday Lunch Televised Sporting Events

Sports Club/ Team Suppers & Socials

Live Music & Dining Seasonal & Festive Dining

International Themed Cuisine

Health Foods/Nutritional Products

Premium Spirits & Wines

Cocktails Artisan Beers Speciality & Fine Teas

Afternoon Tea Wine Tasting Happy Hour

Sports

Gym Swimming Swimming Squad

Personal Training Fitness Classes Fencing

Physiotherapy Squash Squash League & Ladder

Massage Holistic Treatments Beauty Treatments

Running club Triathlon Training Ski Training

Golf Tennis Sailing

Rowing Horse Racing

Accommodation

Midweek (Monday - Thursday inclusive)

Never Rarely (approx. ≥ onceper year) Occasionally (approx. ≥ once

per month) Regularly (approx. ≥ once per week)

Weekend (Friday, Saturday & Sunday inclusive)

Never Rarely (approx. ≥ onceper year) Occasionally (approx. ≥ once

per month) Regularly (approx. ≥ once per week)

Business

Business Centre Networking Breakfasts

Private Meetings Private Business Events (Seminars, Conferences, Exhibitions etc.)

Private Dining Corporate/Client Entertainment

Interests and activities are available for Members subject to demand.

5.2 If you have any further interests or activities that you would like to see available at your Club, please provide more information here.

6. Declaration

I desire to be elected by the Council as a Member of the Club. Should I be elected, I undertake toabide by the Rules & Bye-Laws of the Club.

I confirm that I am married or in a civil partnership. If I am applying for Country Membership I haveno residence of any description (owned, rented, shared or company) within 50 miles of theLansdowne Club. If I am applying for Overseas Membership I have no residence of any description(owned, rented, shared, company) within the UK.

Signed Date

Please attach passport sized

photograph here

9 Fitzmaurice Place, Mayfair, London, W1J 5JD

www.LansdowneClub.comT: +44 (0)20 7318 6160

Membership@LansdowneClub.com

Proposer FormThis form is to be completed by the applicant’s proposer. Once completed, proposers must return this form to the applicant so that they can submit it as part of their complete application.

Your details:Membership No:

First Name(s): Surname:

Email:

Applicant’s details:Title: First Name(s):

Surname:

Home Address:

Postcode:

Email:

Tel Number: Mobile Number:

1.What is your relationship with the applicant?

2. How long have you personally known the applicant? (not applicable where the applicant is your relative)

3. What is your opinion as to why the applicant is suitable for Membership of the Club?

To propose a Member you must be prepared to accept full responsibility for their conduct and behaviour while on Club premises.I agree to the above and confirm that the information provided is true and accurate:

Signed Date

£50 vouchers are offered to proposers for each subsequently elected Member.Vouchers will not be issued to Members who are proposed for the following categories: Junior, 1824, or for partners proposed to form a Joint Membership. Proposers and seconders must also be from a Membership category other than Junior and 1824

and they must have been a Member for at least a year.

Seconder Form

This form is to be completed by the applicant’s seconder. Once completed, the seconder must return the form to the applicant so that they can submit it as part of their complete application.

Your details:Membership No:

First Name(s): Surname:

Email:

Applicant’s details:Title: First Name(s):

Surname:

Home Address:

Postcode:

Email:

Tel Number: Mobile Number:

1.What is your relationship with the applicant?

2. How long have you personally known the applicant? (not applicable where the applicant is your relative)

3. What is your opinion as to why the applicant is suitable for Membership of the Club?

I confirm that the information provided is true and accurate:

Signed Date

Proposers and seconders must be from a Membership category other than Junior and 1824and they must have been a Member for at least a year

TheDirect DebitGuarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

If there are any changes to the amount, date or frequency of your Direct Debit Lansdowne Club Ltd. will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Lansdowne Club Ltd. to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit, by Lansdowne Club Ltd. or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society

– If you receive a refund you are not entitled to, you must pay it back when Lansdowne Club Ltd. asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

The Lansdowne ClubInstruction to your bank or building Society to pay by Direct Debit

Please fill in the whole form using a ball point pen and send it to:

The Subscriptions Secretary

The Lansdowne Club

9 Fitzmaurice Place

London

W1J 5JD

Name(s) of account holder(s)

Bank/building society account number

Branch sort code

Name and full postal address of your bank or building societyTo: The Manager Bank/building society

Address

Postcode

Service user number

9 0 0 5 3 2Reference

Instruction to your bank or building societyPlease pay Lansdowne Club Ltd. Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct DebitGuarantee. I understand that this Instruction may remain withLansdowne Club Ltd. and, if so, details will be passed electronically tomy bank/building society.

Signature(s)

Date

Banks and building societies may not accept Direct Debit Instructions for some types of account

This guarantee should be detached and retained by the payer.

DDI2✁

TheDirect DebitGuarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

If there are any changes to the amount, date or frequency of your Direct Debit Lansdowne Club Ltd. will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Lansdowne Club Ltd. to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit, by Lansdowne Club Ltd. or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society

– If you receive a refund you are not entitled to, you must pay it back when Lansdowne Club Ltd. asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

The Lansdowne ClubInstruction to your bank or building Society to pay by Direct Debit

Please fill in the whole form using a ball point pen and send it to:

The Subscriptions Secretary

The Lansdowne Club

9 Fitzmaurice Place

London

W1J 5JD

Name(s) of account holder(s)

Bank/building society account number

Branch sort code

Name and full postal address of your bank or building societyTo: The Manager Bank/building society

Address

Postcode

Service user number

9 0 0 5 3 2Reference

Instruction to your bank or building societyPlease pay Lansdowne Club Ltd. Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct DebitGuarantee. I understand that this Instruction may remain withLansdowne Club Ltd. and, if so, details will be passed electronically tomy bank/building society.

Signature(s)

Date

Banks and building societies may not accept Direct Debit Instructions for some types of account

This guarantee should be detached and retained by the payer.

DDI2✁

Physical Activity Readiness Questionnaire

Every new Member must fill out this form prior to using the sports facilities.Please be aware that our swimming pool is unsupervised. Swimming is at your own risk.

Yes No

1 Have you any reason to believe you have or have had heart trouble?

2 Have you ever had pains in the chest?

3 Do you ever feel faint or have spells of dizziness?

4 Have you ever been told your blood pressure is too high?

5Have you any reason to believe you might have any bone or joint problem, such as arthritis, that has been aggravated by exercise or might be made worse by exercise?

6 Have you been in hospital as an in-patient in the last 3 years?

7 Are you currently taking any medication?

8 Are you pre/post natal?

9 Do you suffer from diabetes or epilepsy?

10 Do you suffer from asthma or breathing difficulties?

11 Is there any reason not mentioned here which would stop you from exercising?

Disclaimer of Liability

Neither the proprietor or any of the companies within the Lansdowne group of companies, or their agents or employee of the owner shall be liable for loss, damage or theft of personal property belonging to a Member or any guest occurring on the club’s premises, except where injury, death, loss, damage, or theft is caused by

negligence of the proprietor, its employees or agents.

Members and/or guests are advised to undergo a medical examination prior to beginning a physical activity program. Those with diabetes, heart disease, high or low blood pressure and pregnant women should consult

with their doctor to check which of the club’s facilities should not be used.

Neither the proprietor or any of the companies within the Lansdowne group of companies, or their agents or employee or owner shall be liable for any death, injury and illness to a Member or any guest occurring on the club’s premises, except where injury, death, loss, damage, or theft is caused by negligence of the proprietor, its

employees or agents.

All new Members and guests are advised to seek medical advice before partaking in physical activity.

Full Name Membership Number

Signed Date

Membership Application Checklist

This form must be returned by post together with all of the completed documents to: Membership, The Lansdowne Club, 9 Fitzmaurice Place, Mayfair, London W1J 5JD, UK.

Please find below a checklist of all of the documents required in order to submit a complete application.

Place a tick against each completed document enclosed within your application pack.

Application Form(s)

Proposer form

Seconder form

Cheque or credit/debit card details for the £100 registration fee

Passport Sized photograph

Physical Activity Readiness Questionnaire

Please indicate the form of payment which is applicable to your Membership category and ensure the relevant details have been completed on the forms.

Direct Debit form(s) for Membership Payments and Member Charge Account (Applicants for Town and Country Membership)

Direct Debit form for Member Charge Account (Applicants for 1824)

Cheque or credit/debit card details for the entrance fee, first year’s subscription (Applicants for Overseas Membership)

Cheque or credit/debit card details for the entrance fee (Applicants for 1824 Membership and Junior Membership)

It is the responsibility of the applicant to ensure that all of the required documents are submitted. We kindly ask that you do not submit your application until it is complete. Incomplete applications will not be added to the waiting list.

I declare that all of the required documents have been enclosed.

Signed Date

Membership Rates 2019/2020SINGLE JOINT1

Town Membership Entrance feeAnnual

Subscription Entrance feeAnnual

Subscription

Over 70 £1,200 £590 £1,800 £725

Under 70 £1,200 £1,040 £1,800 £1,280

Under 35 £1,200 £790 £1,800 £990

Under 30 £1,200 £640 £1,800 £730

Country Membership2

Over 70 £1,200 £450 £1,800 £465

Under 70 £1,200 £540 £1,800 £580

Under 35 £1,200 £540 £1,800 £580

Under 30 £1,200 £410 £1,800 £445

Overseas Membership3

Over 70 £1,200 £320 £1,800 £360

Under 70 £1,200 £430 £1,800 £485

Under 35 £1,200 £430 £1,800 £485

Under 30 £1,200 £315 £1,800 £340

Junior MembershipClub 18244 £1,000

Under 185 £200

Subscription rates are effective from 1st April 2019 - 31st March 2020 1Joint Membership is applicable for couples who are married or who have entered into a civil partnership.2Country Membership is applicable when Members have no residence within 50 miles ‘as the crow flies’ of The Lansdowne Club. Serving Officers in H.M Forces pay Country rates.3Overseas Membership is applicable when Members have no residence within the UK.41824 Membership is available to anyone joining the Club between the ages of 18 and 20 years inclusive.5Under 18 Membership is available to dependents of existing Members who are between the ages of 12 and 17 inclusive.All Members with a UK bank account must pay by variable Direct Debit (Rule and Bye-Law7(h)).