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Membership Renewal Form

Items marked with * are required

    What is your full name? *

    What is your date of birth? *

    What is your nationality (as on your passport)? *

    What is your e-mail address? *

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

    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?

    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

    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?

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

    Please indicate the type of membership (valid through August 31, 2024): *

    The American Club of Lyon accepts the following forms of payment:

    • French bank transfer (RIB)
    • PayPal (Please note that there is an additional fee included in order to help offset service charges imposed by PayPal)

    When this form is submitted, you will receive a confirmation email. If, after a few minutes, you still don't see the email in your inbox, please check your spam or junk folder, since these website-generated emails sometimes get filtered as spam. The information you have provided in the form will be sent to the American Club of Lyon for the purposes of maintaining membership status. You may withdraw consent and/or request a copy of your data in order to request correction or deletion of your data at any time. More information about how we use your personal information can be found in our Privacy Policy.

    I consent to sending my personal information to the American Club of Lyon and allowing it to be stored in the club's membership database.