Civitas Lancaster Meets on the 1st & 3rd Thursdays every month
at 6:30PM at the Tennis & Yacht Club (Happy Hour & Dinner from 5:30-6:30PM)

Membership Form

I hereby make application for membership in Civitas Lancaster.

Applicant

First Name:

Last Name:

Cell Phone:

Home Phone:

Email:

Street:

City:

State:

Zip:

Birth Month/Day:

Spouse:

Business Information

Name of Business:

Position Title:

Business Phone:

Email:

Street:

City:

State:

Zip:


Please check the manner in which you would like to receive correspondence:

BusinessResidence


Annual Dues are $50.00 payable to Civitas Lancaster


I am signing this application with the intent to join the service club Civitas Lancaster. As a member of Civitas Lancaster, I understand that this is a working club. Therefore, each member is required to:

  1. Pay all obligations due to the club in a timely manner
  2. Complete at minimum two of the three participation criteria listed below
    • Participate on club committees or in fundraising activities prior to the fundraiser;
    • Attendance at Club fundraising events;
    • Sell a minimum of 10 tickets to the annual chicken barbecue fundraiser and sell a minimum number of tickets as designated for any other fundraisers requiring ticket sales

I Agree

Sponsor Member: