Privilege Card Registration Form

Find out about the benefits of joining the Farthings membership scheme.

* Required fields

Title Please select Mr Mrs Miss Other (Please specify) *

Please specify *

Surname *

Forename *

Email *

Home tel no *

Mobile tel no

Address 1 *

Address 2

Postcode *

Birthdate

/ DD

/ MM

YYYY

 

For businesses I am a business

If you are a business and wish to associate your card with additional card holders please provide additional card holder name and mobile.

Name 1

Mobile 1

Name 2

Mobile 2

Name 3

Mobile 3

Payment I agree to forward a cheque or pay by credit card a nominal charge of £5.

Receive Updates Keep me up to date with services and special offers.

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To cover the cost of this card a nominal charge of £5 will be levied.

Please make your cheque payable to Leeds City College.

Postal Address
JP Noret
Farthings Restaurant
Thomas Danby Campus
Roundhay Road
Leeds
LS7 3BG

Tel: 0113 2846535 for Credit card payments

Your card will be posted to the address entered on your application.

If you asked us to keep you up to date with services and special offers, we may send you notifications via email, mail-shot or text message.

We will not pass your details onto any third parties.

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