BEFORE PROCEEDING

• I hereby seek admission to the platinum membership of Le Malt Imperiale. If my application is accepted, I willingly commit to abiding by the established club regulations.
• A recent, clear headshot is a mandatory inclusion.
• In addition to the headshot, please ensure all sections of this form are completed accurately and thoroughly.
• Each submission undergoes careful evaluation by our esteemed committee. Any omission of information will render the application incomplete and ineligible for review.
• Rest assured, all provided information shall be treated with the utmost confidentiality.