Here's your big chance folks. Sign up with us and enjoy a multitude of benefits, not to mention exclusive access to our parties. All we ask is you take the time to fill in this form carefully...

By that we mean you have to fill in all sections - sorry to be a pain, but if we don't know who you are or where you live, how are we ever going to get in touch?

Also, if any of you haven't received your card and/or emails from Blackjelly, please let us know here.

*mandatory bits

  First name*
  Surname*
  Email address*
 

Confirm email address*

 
  Address* (please fill this in, including postcode, otherwise we can't send you a membership card)
  Telephone
  Mobile*
  Occupation*
  Company*
  Who do you know? Please supply the name of one member willing to propose you*
  Finally, this is your chance to say something about yourself - be original, be creative, but above all, be Blackjelly*