MANSOURI MANSIONS HOTEL
P. O. Box 5589, Manama, Bahrain
Ph: +973 716 999. Fax: +973 716 838

MEMBERSHIP APPLICATION FORM 
(Please print out this form and send duly filled to the address above)


Personal Details
Full name     _________________________________________________________________________
            First                                         Middle                                    Last
Date of Birth  _______________________________               CPR No# _________________________
       Day            Month        Year
P. O. Box     _________________________________________________________________________
Phone Nos    _________________________________________________________________________
           Off #                  Res #                     Mob #                        Fax # 
Employer      _________________________________________________________________________
Position held _________________________________________________________________________
Nationality      _________________________________________________________________________
Membership request start from:   
Membership applied for   Single [     ]                               Couple     [     ]

1 Year [     ]                                6 months [     ]

Credit card details
Credit card# _________________________________ Expiry date _________________________________
Name ______________________________________ Signature __________________________________

 

Membership includes full usage of 24 HR NAUTILUS at Mansouri Mansions Hotel 3rd floor and Nautilus plus at the Country Club

I hereby confirm that I have read carefully all the rules and regulations  of the 24 HR NAUTILUS , and that I understand and accept them fully. I confirm that I am not suffering from any medical condition which might be complicated by physical activity.

 

Signature : ___________________________________ Date : ____________________________________
Note:  
  • Membership is non-transferable.
  • All applications are subject the management approval
  • Please attach two photographs