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A NEW PRIVATE MEMBERS CLUB

112 St Martin’s Lane, London, WC2N 4BD

“I have always imagined that Paradise will be a kind of library.” - Jorge Luis Borges

www.lib-rary.com


M E M B E R S H I P A P P L I C A T I O N F O R M Please complete the attached form and post to the address below.

112 St. Martin’s Lane WC2N 4BD

Please tick the type of membership you would like to apply for: Founder Member

Lifetime Member

DATE OF APPLICATION: ABOUT YOU To help us decide if Library is a place for you, please fill in the fields below to give us a better idea of who you are. PERSONAL Title:

Mobile:

Forename:

Email:

Surname:

Twitter:

Date of Birth:

Website:

Sex:

Blog:

ADDRESS

JOB TITLE & DESCRIPTION

Name/No.: Street: Town: Country: Postcode: REFEREE Proposer details. Please ensure you have permission to use their name. If you don’t know a proposer, please leave this section blank.

Name: Mobile: Email:

HOW/WHAT WOULD YOU LIKE TO CONTRIBUTE/COLLABORATE TO/WITH THE CLUB?


M E M B E R S H I P A P P L I C A T I O N F O R M

ACCEPTANCE OF LIBRARY’S RULES AND DISCLAIMER

I confirm that I have read the full membership terms and conditions displayed on the website and agree to be bound by the rules of the club and any by-laws made in accordance therewith and to pay such fees and subscriptions as the rules should require. I acknowledge that all payments and subscriptions are non-refundable. I am over 21 years of age. In accodance with the Data Protection Act (1998), I authorise my information to be used for internal club purposes only. Every member of the club shall, subject to membership terms, conditions and rules, and upon payment of any charges fixed by us, be entitled to use and enjoy, in common with the other members of the club, the premises and the facilities therein plus any additional benefits provided by third parties. I acknowledge that although membership fees are set to remain the same as at the date of signing, the membership fee and subscriptions shall be fixed by management. It shall be entirely within their discretion to raise, lower or waive such membership fees and subscriptions. Subscriptions must be paid prior to the renewal date. Management may revoke and refuse membership including entrance to the club for any reason whatsoever without refund and the General Committee shall have the power by their duly authorised officer to refuse the admission of any visitor if in their opinion it is desirable and in the interests of the club.

Signed: Print Name: Date:

The name of the club is Library, at 112 St. Martin’s Lane. London WC2N 4BD. Membership and Membership Cards including access to Library is/are granted by, owned, issued and distributed by MyLibrary Limited or persons to whom MyLibrary Limited has delegated authority.

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