Club Membership Registration Form

Club Lumière Membership Form
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Birth Date

MonthDayYear
What's your motivation to join the club?

Networking and building professional relationshipsEngaging in stimulating workshops and conversationsBeing part of a global community of women founders, creators & professionalsAll of the above
Which of the club's offering appeals to you the most?

Monthly intimate gatherings & book circlesWorkshops & dialogues on global topics, culture & career evolutionAccess to an international network of women working in diverse fieldsAll of the above
Would you like to get involved in Club Lumière?

A. Yes — I’d love to take an active part in the communityB. Possibly — I’d like to start by attending a few eventsC. Not for now — I prefer to stay informed about future opportunities
Please write one short paragraph about yourself. What is your current occupation? What do you like to do outside of work (hobbies/interests)?*
Should be Empty:

Club Lumière Membership Form