Membership Renewal Form

Items marked with * are required

What is your full name? *

First Name
Last Name

If any of the information in the yellow box has changed, please enter it.

If applicable, what is your spouse’s/partner’s full name?

First Name
Last Name

What is your spouse’s/partner’s date of birth?

What is your spouse’s/partner’s nationality (as on their passport)?

If applicable, please list children:

Name
Birth Date
Name
Birth Date
Name
Birth Date
Name
Birth Date
Name
Birth Date
Name
Birth Date

What is your e-mail address?

(e.g. john@example.com)

Would you like to receive a copy of the newsletter at this email address?

Yes
No

You may enter a second email address if you would like

(e.g. john@example.com)

Would you like to receive a copy of the newsletter at this email address?

Yes
No

What is your mailing address?

Address Line 1
Address Line 2
City
Postal Code
Country (if not France)

What is your home phone number?

(e.g. 01 23 45 67 89)

What is your mobile phone number?

(e.g. 01 23 45 67 89)

What is your current or prior occupation?

Who is your current employer?

What is your spouse’s/partner’s current or prior occupation?

Who is your spouse’s/partner’s current employer?

American Club of Lyon is a volunteer organization, and we rely on the contribution of our members to thrive. Please indicate below which role(s) you may find appealing and/or any activities for which you may volunteer to help:

Newsletter 
Board Member 
Website 
Blog 
Children’s Activities 
Adult Social Events 
Outdoor Activities

I prefer events:

weekday mornings 
weekday afternoons 
weekday evenings 
weekends 

I give permission to use photos of me/us on the club website and promotional materials:

yes
no

Please indicate the type of membership:

Family (household) – €60
Singles (one-person household) – €30
Student (25 years & under) – €25
Non-Resident (email only) – €15