Legacy Social Circle | Membership Application

1

Thank you for your interest!

The Legacy Social Circle is where curated experiences meet exceptional people aged 40 plus. Submit your application for consideration inside "The Circle™"

Annual Membership Investment - $400 ($34 Per Month Billed Annually)

*CLICK NEXT TO START!

2

Name* This field is required.

First Name

Last Name

3

Email address* This field is required.

example@example.com

4

Mobile Number* This field is required.

Area Code

Phone Number

5

Age* This field is required.

6

Your City & Zip Code* This field is required.

7

Gender (from birth)* This field is required.

8

Occupation / Industry* This field is required.

9

LinkedIn and/or social media profile names.* This field is required.

10

Relationship status?* This field is required.

11

Which best describes your lifestyle?* This field is required.

12

Which LSC community interests you most?* This field is required.

13

What type of social experiences interest you the most? (You may select more than one)* This field is required.

Private Dinner Parties / Gourmet Experiences

Cultural Events / Theatre / Shows

Yachting / Boat Tours

Game Nights / Interactive Socials

International Vacation Getaways

Professional Networking Socials

Other

14

Which days/times are you most likely to attend? (You may select more than one)* This field is required.

Weekday social experiences (evening)

Weekend social experiences (daytime)

Weekend social experiences (evening)

15

How did you hear about The Legacy Social Circle™?* This field is required.

16

Acknowledgement* This field is required.

I understand that submission of this form does not guarantee membership and that selected applicants may be invited to a phone interview.

I am aware that the LSC membership investment is $400 due upon membership approval.

I agree to be a respectful LSC participant if membership is granted.

I am willing to undergo a thorough verification process for membership consideration.

I consent to receive communication by text AND email AND phone.