GOLD COAST JAZZ & BLUES CLUB Couples Membership Application Note: For couples who share the same Email Address and/or the same Postal Address, just enter ‘As Above’ in the partner’s section boxes for this information. *** Annual Memberships now available *** Your Email Address Your First Name Your Last Name Your Day & Month Of Birth Your Phone (Mobile Preferred) Your Postal Address Your Post Code Partner's Email Address Partner's First Name Partner's Last Name Partner's Day & Month Of Birth Partner's Phone No Partner's Postal Address Partner's Post Code Click Here To Pay For Your Membership