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Single Gourmet Dining and Travel Club
Chicagoland's Premier Social Club
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MEMBERSHIP APPLICATION

Yes, I am single and would like to join The Chicago Area Chapter of The Single Gourmet.

I am providing the information below with the understanding this information will remain private and will not be sold or provided to any other company and is for the exclusive use of The Single Gourmet.

If you do not wish to provide this information over our servers, ""you may print this form, complete it and mail it with your check (made payable to The Single Gourmet) or credit card information to: The Single Gourmet, 2920 W. Grand Avenue, Suite 100, Chicago, IL 60622 or join by phone by calling (773) 772-3535. Payment in the amount of $129 for the first full year can be made by Visa, MasterCard, American Express, Discover Card, personal check or money order. The renewal rate is only $89.

Please provide the following contact information:

First Name
Last Name
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Cellular Phone
FAX
E-mail
Age Group
Birth Date - mm/dd/yy (optional)
How did You hear of us?

A $129 annual membership fee will be charged to your card.

Credit Card Number:
Expiry Date - mm/yy

Please Sign
(No signature required if you are completing and sending this application electronically from here.)


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Media Clips...

"The Single Gourmet promises to be one sizzling scene, providing Chicago area unmarrieds with gourmet encounters of the finest kind." -- The Star

"Meeting people without the meat market." -- USA Today

"Graze with this group and you know you'll be served a delectable buffet, meet a smorgasbord of people and perhaps have a feast of flirting." -- Wild Chicago Guidebook

"Breaking bread with new freinds is a great way to break the ice." -- Chicago Tribune

"You can eat, drink and be merrily single." -- The Daily Herald

"Who's for dinner? Club puts fun, friends and food on the menu." -- Chicago Tribune

Single Gourmet, "Feeding the Spirit" -- Chicago Sun-Times

"Single Gourmet offers a new solution to the age-old problem of how boy meets girl." -- Crain's Chicago Business

"Singles Travel...No Longer a Solo Mission" -- The News Marketer

"Singles get a taste of togetherness." -- Chicago Tribune

"Singles dining club sets the table for friendships." -- Chicago Sun-Times


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