The Terrace Club, New York City

Membership Application

* Indicates required field.

Applicant Information

*Name of Applicant

Email Address

Business Address

Business Name

*Business Address 1

Business Address 2

*City

*State/Province

*Country

*Zip/Postal Code

*Business Phone
- -
Business Fax
- -

Residence Address

*Residence Address 1

Residence Address 2

*City

*State/Province

*Country

*Zip/Postal Code

*Residence Phone
- -
Residence Fax
- -

Payment Details

*Credit Card Type

*Credit Card #

*Expiration Date

Membership Information

Membership Type		Charter
	Resident	$750
	Non Resident (lives & works > 25 miles from NYC)	$450
	Senior (more than 65 yrs)	$450
	Corporate (max 10 individuals)	$2,500
	Initiation Fees (waived for Charter Members)	$1,000

Membership Privileges

Breakfast, lunch, dinner and bar service indoors or outdoors
Complimentary Club Breakfast (nominal charge for guests of members)
Complimentary, fully equipped work-stations; high speed Internet access throughout the Club
Catering and state-of-the-art rooms for business meetings, social occasions, and special events.
Use of reciprocal club network including guestrooms at subsidized rates at 12 Club Quarters prime locations
On-site fitness room and preferred corporate rate at The Sports Club/LA
Concierge service 24/7

By Submitting this form, I hereby authorize The Terrace Club to use this credit card for non refundable payment of my initial annual dues and subsequent annual dues pro-rated monthly unless canceled in writing. Corporate Dues billed annually. Dues subject to 8.375% NYC Tax.