Membership Profile

MEMBERSHIP PROFILE UPDATE

Thank you for taking a few minutes to update your membership profile. This information allows us to maintain complete membership records and plan programming and special events aligned with your interests.
PRIMARY MEMBER SPOUSE / PARTNER
Primary Member

First NameLast Name
Spouse/Partner

First NameLast Name
Primary Member Email
example@example.com
Spouse/Partner Email
example@example.com
Primary Member Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Spouse/Partner Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Primary Member Phone
Please enter a valid phone number.Format: (000) 000-0000.
Spouse/Partner Phone
Please enter a valid phone number.Format: (000) 000-0000.
Primary Member Occupation/Profession
Spouse/Partner Occupation/Profession
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Children's Names and Ages ( if applicable )
Please list names and dates of birth
Do your children frequent The Belvedere Club?
When they visit The Belvedere Club, are you present?
Would your child, over 21, be interested in getting more information on a Belvedere Young Professionals Group?
Please upload a photo of yourself and spouse/partner

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Membership Directory Preference

As part of standard practice for membership-based organizations, Casa Belvedere is developing a comprehensive internal membership directory for staff use. At this time, all information collected is for Casa Belvedere internal purposes only and will not be distributed publicly.
However, should a member-to-member directory be compiled in the future:
Member Engagement & Interests
How long have you been a member of Casa Belvedere?
Which types of programs most interest you? (check all that apply)
What days/times are most convenient for you?
Enter Time
Would you attend smaller, member-only gatherings?
We are seeking members that would like to host a member to member networking reception. Would you be interested in sponsoring such an event for X of people.
If yes, I will be in touch to coordinate.
Community & Future Vision
What would you like to see more of at Casa Belvedere?
Is there a talent, expertise, or professional background you would like to share with Casa Belvedere members?
Would you be interested in (check all that apply):
Members who complete this profile update by XX/XX/XXX will recieve a discount code to be used at any of our upcoming events and programs.
Should be Empty:

MEMBERSHIP PROFILE UPDATE

PRIMARY MEMBER SPOUSE / PARTNER

Member Engagement & Interests

Community & Future Vision