I confirm that I have read the main pages of Tregynon's website which states the basis upon which membership of Tregynon's Diners' Circle is available and forms the basis of the Terms and Conditions of membership. By submitting this form, I fully understand that I am accepting these terms and conditions. I also confirm that my initial once only joining fee of £15.00 is being posted to you separately / enclosed with a copy of this form. (Please make cheques payable to Tregynon.)

I further understand that upon receipt of this form and payment, you will send me my membership card for Tregynon's Diners' Circle as confirmation of membership.