To become a member of Seattle Supper Club
please complete the following:
*Membership Type
Single / Couple
*First Name:
*Last Name:
Partner/Spouse First Name
Partner/Spouse Last Name:
*Email:
Address 1:
Address 2:
City:
State:
*Zip:
*Phone Cell:
*Phone Home:
Profession:
Employer:
Referred by:
*Gender:
*Date of Birth: xx/xx/xxxx
*Preferred Availability

Interests:

(Hosting a dinner in
my home, wine dinners,
fine food and wine,
unique and ethnic dining,
culinary excursions,
chef-lead demos,
chef-lead cooking lessons,
winery tours, etc.)