WEB SIGN UP FORM

Fill in the form below to join Charles Hotel Membership to receive special members offers and to accrue points redeemable for food and beverage within the venue.

To receive your special member benefits, complete the form, then come in to the Charles Hotel to pick up your membership card. You will be asked to quote your email or mobile phone number as identification.


	*	(Denotes Compulsory)
First Name	*
Last Name	*
Gender	*	Male Female Non Binary
Date of Birth	*
Mobile Number	*
Postcode	*
Email	*
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By clicking commit you agree to abide by the Charles Hotel's Membership Terms & Conditions

The Charles Hotel does not disclose any personal contact information provided on this form for use by a third party, in compliance with the National Privacy Act and relevant Anti Spam Act.