Please note that only existing club members may propose new candidates.

If you wish to propose a new candidate for our establishment with a prospect of being invited to some of our events and considered for future membership, please complete the form below and we will contact them as soon as practicable. All fields are mandatory.

We respect your candidate's privacy, none of their information will be shared with third parties or used for any commercial/marketing purposes.

Candidate's Name:

Date of Birth:

Email:

Verify Email:

Telephone:

Mobile:

Occupation:

Postal Address (Usual Place of Residence, NO P.O. boxes, please!):

Brief Introduction:

Membership of Other Clubs:

Contact Preference: Email Telephone

Consent to being proposed Yes No

Join our mailing list? Yes No

Membership of the Eccentric Club before 1985? Yes No

Proposer's Name:

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