If you are interested in becoming a member when we open our doors, please leave your name and email address here and we will contact you when we have completed our Casino licence application with more details. <BR><BR> <TABLE CLASS="normalwhite"> <FORM METHOD="post" TARGET="_top" ACTION="membership.asp"> <TR> <TD>Title: </TD> <TD><INPUT TYPE="text" NAME="Prefix" Class="formboxes" SIZE=6></TD> </TR> <TR> <TD>Firstname: </TD> <TD><INPUT TYPE="text" NAME="Firstname" Class="formboxes"></TD> </TR> <TR> <TD>Surname: </TD> <TD><INPUT TYPE="text" NAME="Surname" Class="formboxes"></TD> </TR> <TR> <TD>Age Group: </TD> <TD> <SELECT NAME="agegroup" Class="formboxes"> <OPTION VALUE="na">Please select</OPTION> <OPTION VALUE="18-25">18-25</OPTION> <OPTION VALUE="26-30">26-29</OPTION> <OPTION VALUE="31-40">30-39</OPTION> <OPTION VALUE="41-60">40-59</OPTION> <OPTION VALUE="60+">60+</OPTION> </SELECT> </TD> </TR> <TR> <TD>Email: </TD> <TD><INPUT TYPE="text" NAME="Email" Class="formboxes"></TD> </TR> <TR> <TD>Confirm: </TD> <TD align="right"><INPUT type=image alt=Go src="images/send.gif"></TD> </TR> </FORM> </TABLE> <BR> We haven’t finally decided on our membership structure yet; however we can tell you that: <UL> <LI>We will be offering a special founder member package which will carry some lifetime benefits and will only be available to members that join before the club opens. <LI>We won’t be selling any memberships until we have been granted all of the necessary permissions and an opening date has been set. </UL>
