Default Membership Join Form (Individual)

Redirecting you to a secure payment page…

Include a submember in your membership registration

Personal Information

First Name *

Last Name *

Prefix

Suffix

Work Information

Company

Primary contact information

Please enter the contact information you prefer to be reached at, and indicate if it is home or work. You may enter additional contact information, including additonal emails or a mobile phone in the next section. The contact information in this section will be used for reaching you.City Club primarily contacts members using email.

If you have questions, please contact the City Club office.

Email *

Email 2

Phone *

Phone 2

Phone 3

Address *

Address Line 2

City *

State *

Zip Code *

Name for use on Name Tag

Job Title

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Secure Payment

Include a submember

{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

I would like to automatically renew this membership when it is due. Please charge my credit card automatically.

First Name *

Last Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Add {{subMemberDisplayName}}

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Secure Payment

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} ({{subMemberDisplayName}})

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Event: {{d.eventName}}

Attendee	Admission	Amount
{{a.attendeeLabel}}	{{a.admission}}	{{a.amount === 'Free' ? 'Free' : a.amount ? formatAmount(a.amount) : ''}}
	{{s.sessionLabel}}	{{s.amount === 'Free' ? 'Free' : s.amount ? formatAmount(s.amount) : ''}}

{{this.formCurrency.sign}} Donation {{formatAmount(orderSummary.donationAmount)}}

Frequency selected: {{recurringUnitDescription || recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Discounts -{{formatAmount(orderSummary.discountTotal)}}

Subtotal {{formType==='PRODUCT' ? formatAmount(productNetSubtotal(orderSummary)) : formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Delivery Cost {{formatAmount(orderSummary.deliveryCost || 0)}}

Tax {{formatAmount(orderSummary.tax)}}

Tax {{formatAmount(orderSummary.tax || 0)}}

Tax {{formatAmount(orderSummary.taxAmount || 0)}}

Total {{formatAmount(orderSummary.total)}}

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Secure Payment

Card

Pay Later

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Payment Form Unable to Load: Your payment form is blocked by a firewall. This is most commonly due to use of an anonymous, untrusted IP address. If you are using a VPN to anonymize your IP, we recommend connecting through your local IP to complete your payment.

Billing address is the same as mailing address

Address Line 1

Address Line 2

City