Membership Application Form

Fields marked with asterisk(*) are obligatory.


The Fitzwilliam Card Club may send occasional Texts regarding events in the club. Tick the Box if you choose not to subscribe to marketing texts.

The Fitzwilliam Card Club may send occasional Emails regarding events in the club. Tick the Box if you choose not to subscribe to marketing Emails.
Poker Casino Gaming Other

 
 
 
Have you ever been barred or availed of the our self-exclusion facility in the past?
Yes No
Are you the beneficial owner of all funds bet by you in the Fitzwilliam Card Club?
Yes No
Are you a Politically Exposed Person (PEP), an immediate family member of a PEP or close associate of a PEP?
Yes No
What are the Source of Funds you will be using to play at the club?
Employment Income Self Employed Income Investment Income Inheritance Other (please state)
: I declare the following: I am over the age of 18; the information I provide herein is truthful and correct; I agree to respect and abide by the Fitzwilliam Casino & Card Club Rules as well as the decisions of Club Management; I will behave in a respectful manner at all times and agree Management's right to evict me for any reason whatsoever; I will obey the rules and regulations of each event; and I will respect the comfort and recreational enjoyment of others.
 

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