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Registering interest/Enquiry form

This form is to register your interest in Later Lifestyle Clubs or to make an enquiry.

You can register your interest either to be an active founder member interested in helping set up and shape your local club, or simply as being interested in being a member of the club and participating in the facilities and activities it provides. 

As soon as we have enough registrations in a region then we will put things in train to start the club, so if you do have friends who would also be interested please ask them to register as well, as this will make it happen faster.

Registering doesn’t commit you. Once you register your potential interest we will send you more details and then contact you once there are sufficient people registered in your region.

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About you
First name:
Last name:
Email Address:
Contact Telephone No.:
Postal Address:
County:
Post code:

Are you interested in being a founder member, or a participating member? :

Are you retired/approximately how long have you been retired?
Additional information e.g. do you have a partner or friends you think would be interested?
(optional):
Questions/Comments e.g. any immediate reactions, comments or suggestions about the clubs, based on what you have read
(optional):
 
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