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55Club Membership Form

Please fill out the below form to register for 55Club. If you would also like to register your mobile phone number for 55Club please click here.

Contact Details
  1. (required)
  2. (required)
  3. (required)
  4. (required)
  5. (valid email required)
  6. (required)
Passport Information
  1. We require your passport information in order to verify eligibility to join Citiescapes 55club. This information will not be used for any other purpose.
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  1. If a friend told you about 55Club, please enter their name and membership number below.

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