Membership Application

Request Your Membership

This form helps us understand your lifestyle and preferences to design a truly bespoke membership. Your information remains confidential and is reviewed by our team.

Fields marked with * are required.

Personal Information

First Name *

Last Name *

Gender *

Birth Date *

Preferred Contact Language *

Address

Address *

Address Complement

Zip Code *

City *

Country *

Contact

Phone *

Email *

Instagram (to improve approval chances)

LinkedIn (to improve approval chances)

Professional Information

Job Title *

Company

Activity Sector *

Lifestyle

What are your hobbies? *

Other memberships you already have / had in the past

Your Expectations

What you expect from ELITE Concierge services *

What are you exactly looking for? *

Who will use the service?

Usage *

Alone With partner

Do you have kids? *

Yes No

By submitting, you confirm that the information provided is accurate. Your data is handled confidentially.