Wufoo

I would renew my UPSTAGE Membership at The Concourse and enjoy VIP treatment all year round. *
1 year - single membership $50 1 year - couple's membership $100

Please note: A couple's membership includes double the benefits in one Welcome Pack addressed to both of you.
Today's date * DD / MM / YYYY
You will receive your Membership Pack within 2 weeks of submitting this form. Your membership is for 12 months from the date your Membership Pack is mailed.
Name * First Last
If signing up as a couple, please enter both the names in the First field e.g. David and Ann
Partner's Name (only for Couple Memberships)
First Last
Email *

By entering your email, you are agreeing to receive regular UPSTAGE Members e-newsletters. Please note that newsletters and offers are ONLY sent out via email. If you don't give us a valid email, you will not receive the monthly UPSTAGE emails or details of membership offers and events.
Phone Number *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

When renewing your Membership, you don't have to fill in your Address details unless you have moved or would like to update your contact details. Thank you.
UPSTAGE suggestions

If you would like to make any suggestions or recommendations for UPSTAGE events or opportunities, we'd love to hear them.
Payment Options
Just one more step and your UPSTAGE Membership will be renewed.

You will be taken to a secure payment page after submitting this form. Please enter your credit card information on that page to complete your purchase.

Thank you.
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Wufoo

Just one more step and your UPSTAGE Membership will be renewed.