To apply for Club Noir Memberships please complete the following online form or call us on 1300 135 672.


Upon receipt of your Club Noir membership application one of our friendly team will contact you immediately.

Congratulations on taking the first and most important step to securing your balanced future, a lifestyle full of luxury, indulgence and peace of mind.

Your membership card will be your passport to an extensive array of services, benefits and privileges.

The information provided in the attached form is for the use of Luxury Leisure only and will be treated in accordance with our Privacy Policy and with complete discretion at all times.

At Luxury Leisure we are determined to ensure that the membership cost you pay will represent extraordinary value to you and your quality of life here forth.

We look forward to serving you well.

Your Details

Fields marked with a '*' are required.
Title *
Title is required.
First Name *
First name is required.
Last Name *
Last name is required.
Date of Birth *
Day is required.

Month is required.

Year is required.
Gender
 

Home Address
Address *
Address is required.
Suburb *
Suburb is required.
State
State is required.
Postcode *
Postcode is required.
Post should be 4 digits.
Email *
Valid email is required.Invalid format.
Work Tel
Mobile *
Enter mobile number.Invalid format.
 

Your Occupation
Company Name
Job Title
 

Other Data
Where did you hear about us?
If you have been proposed by a member, please enter his or her name.
Which level of service are you interested in?
 

Legal

Check if you have read the T&C. *
© Luxury Leisure 2005 - 2009. All rights reserved