Lyceum Club of Tarrytown - NEW Member Application

Lyceum Club of Tarrytown - NEW Member Application
NEWRENEWAL
Date

MonthDayYear
Date
First & Last Name
First Name*
Last Name*
Street Address*
City*
State*
Zip*
Date of Birth*

MonthDayYear
Date
Email address*
example@example.com
Phone Number*
Format: (000) 000-0000.
Current Occupation*
Please provide LCT with details about yourself (family, interests, hobbies, etc)*
All NEW members must be sponsored by a current member (in good standing) of the Lyceum Club of Tarrytown. Please provide your sponsor's name and contact information below.
Sponsor's First & Last Name*
Sponsor's Primary Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Please initial below to acknowledge your acceptance of the Lyceum Club of Tarrytown's rules and regulations for prospective new members:
I understand that annual dues of $500 must be submitted with this membership application.*
I understand that prospective new members must submit a $200 one-time Initiation fee with this membership application.*
I understand that prospective new members shall appear before the Board at the next regularly scheduled Board meeting following the submission of the application, at which time the Board shall vote on whether to formally approve new members and conclude the probationary period.*
I understand that prospective new members may be denied membership by (i) three negative ballots from Members in good standing, reported to the Board during the thirty day bulletin board period, or (ii) a majority vote of the Board of Directors.*
I verify that the information provided above is accurate to the best of my ability.
Signature*

Clear
Full Name*
LCT Fees for 2026*
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Lyceum Club of Tarrytown - NEW Member Initiation Fee
One-time fee for new members

$200.00 Quantity

Lyceum Club of Tarrytown - 2026 Annual Dues (NEW Members)
2026 Annual dues for new members.

$500.00 Quantity

Total

$0.00
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