Lyceum Club of Tarrytown - 2025 Membership Renewal

Lyceum Club of Tarrytown - Membership Renewal form

For current members in good standing who wish to renew for 2025.
Type of Membership

NEWRENEWAL
Date

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

MonthDayYear
Date
Email address*
example@example.com
Phone Number*

Area CodePhone Number
Current Occupation*
Please provide LCT with details about yourself (family, interests, hobbies, etc)*
Please initial below to acknowledge your acceptance of the Lyceum Club of Tarrytown's rules and regulations for RETURNING members:
I understand that annual dues of $500 for 2025 must be submitted upon completion of this form.*
I understand the member accounts must be up-to-date before membership can be renewed for 2025.*
I verify that the information provided above is accurate to the best of my ability.
Signature*

Clear
Full Name*
LCT Fees for 2025*
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Lyceum Club of Tarrytown - 2025 Annual DuesAnnual fee for all members.
$500.00 Quantity

Total

$0.00
I will submit payment via:*
Amount Paid:

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Lyceum Club of Tarrytown - Membership Renewal form