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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?

    Yes  No  

    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?

    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 (valid through August 31, 2021). For the 2020-2021 membership year, we are offering a discount due to the lower number of in-person events resulting from the COVID-19 pandemic: *

    Family (household) €40  Single/Student (one-person household) €20  Non-Resident (online only) €15  

    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.