The Exchange - The Meeting Place

How do you fancy earning points for every £ you spend at the bar on drinks and merchandise? It's FREE to sign up and get your card so apply now!!

Watch out for Double and Triple Point nights so you can boost your card.

Title:	Mr Mrs Miss
First Name:
Surname:
Sex:	Male Female
Address:
Post Code:
Date of Birth:
Telephone Number:
Mobile Number:
E-Mail Address:
Preferred Music Styles:
	R'n'B House Garage
	Techno Pop Rock
	D'n'B Reggae Dance Hall
	Other:

	The information given on this form will be kept by The Exchange Bar Co Ltd and will not be supplied to third parties. A benefit of being a member is occasionally receiving information and offers from us. Tick this Box if you do not want to receive such information or offers.

	By checking this box you are stating that you are over the required age of 18 and are applicable for this Reward Scheme. If you are under this age then you will not be allowed to enter the scheme.

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