To apply for Membership, please fill in the below form in full. All information on this form will be transmitted securely, and all of your data will be held in strict confidence. You may also FAX your application to the membership director on: ++ 44 (0) 7000 74 57 86.

NAME:


ADDRESS:


CONTACT TELEPHONE:


EMAIL ADDRESS:


CREDIT CARD NUMBER ( VISA OR MASTERCARD ):

EXPIRATION DATE:
       

3 DIGIT BATCH CODE:

CASH OR BANK TRANSFER

3 MONTHS MEMBERSHIP IS £4,200 GBP -  TERMS AND CONDITIONS OF MEMBERSHIP

At Azzura, we like to think our members are part of a Global family, who all look after each others interests.

A little thought will make it very clear that the greatest risk and threat to our enjoyment is to break the circle by exchanging personal data such as Telephone numbers, Email address, and your Membership Password.

We place your private life and enjoyment as a priority, this is after all a major benefit with The Azzura Membership.

If you are not bothered by an amazing service which offers complete discretion and protection of your private life then we are probably not for each other, if however you are, please proceed.

I AGREE

 

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