Membership Renewal Form

Items marked with * are required

What is your full name? *

What is your e-mail address? *

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?

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

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

YesNo

You may enter a second email address if you would like

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

YesNo

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:

NewsletterBoard MemberWebsiteBlogChildren's ActivitiesAdult Social EventsOutdoor Activities

I prefer events:

weekday morningsweekday afternoonsweekday eveningsweekends

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

YesNo

Please indicate the type of membership: *

Family (household) - €60Singles (one-person household) - €30Student (25 years & under) - €25Non-Resident (email only) - €15
Please leave this field empty.