First Name
Last Name
Email Address
Mobile Number
Date of Birth
Gender
Please Select
Male
Female
Address
City
State / Region
Country
Spouse / Partner's First Name
Spouse / Partner's Last Name
Spouse / Partner's Email
Company Name (s)
Industry
Please Select
Accounting
Aviation
Animation
Apparel/Fashion
Architecture & Planning
Arts & Crafts
Automotive
Aviation/Aerospace
Banking
Biotech
Broadcast Media
Building Materials
Business Supplies/Equipment
Capital Markets
Chemicals
Civic/Social Organization
Civil Engineering
Commercial Real Estate
Computer/Network Security
Computer Games
Computer Hardware
Computer/Internet
Computer Networks
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
Education Management
E-Learning
Electrical/Electronic Manufacturing
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Financial Services
Fine Art
Fishery
Food & Beverage
Food Production
Fund-Raising
Furniture
Gambling & Casinos
Glass, Ceramics & Concrete
Government Administration
Government Relations
Graphic Design
Health, Wellness & Fitness
Higher Education
Hospital & Health Care
Hospitality
Human Resources
Import & Export
Individual & Family Services
Industrial Automation
Information Services
Information Technology & Services
Insurance
International Affairs
International Trade & Development
Investment Banking
Investment Management
Judiciary
Law Enforcement
Law Practice
Legal Services
Legislative Office
Leisure, Travel & Tourism
Libraries
Logistics and Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
maritime
Market Research
Marketing & Advertising
Mechanical / Industrial Engineering
Media Production
Medical Devices
Medical Practice
Mental Health Care
Military
Mining & Metals
Motion Pictures & Film
Museums & Institutions
Music
Nanotechnology
Newspapers
Non-Profit Organization
Oil & Energy
Online Media
Outsourcing/Offshoring
Package/Freight Delivery
Packaging & Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations & Communications
Public Safety
Publishing
Ranching
Real Estate
Recreational Facilities & Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Security & Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Staffing & Recruiting
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation & Localization
Transportation/Trucking/Railroad
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine & Spirits
Wireless
Writing & Editing
Position/Title
Alma Mater
List all other clubs you are a member of
Any additional interests or specifics for those metioned above that you would like to share?
What languages to you speak?
List all the major global events that you regularly attend or would like to attend? (Cannes Film Festival, Monaco F1 Grand Prix, Art Basel Miami, New Year's in St Barths, Unicef Gala, amfAR)
What time of the year are you most likely to use your membership?
Do you participate in any charitable giving?
If so, to which organizations?
Is there anything you would like to share that would make you a good addition to the club?
What interests you most about becoming a member?
Do you follow any health regimes? If so, which ones?
Do you regularly use the gym?
Do you have any food allergies or dietary restrictions we should be aware of? If so, which ones?
Please provide links to any of the following platforms that you use
Personal Website
LinkedIn
X (Twitter)
Instagram
Name of the person who referred you
Years known
Referrer's Contact Number
Referrer's Email
SUBMIT