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		Annual Dues
	Resident	$750
	Non Resident (lives & works > 90 miles from NYC)	$500
	Corporate (max 10 individuals from one company)	$2,500
	Fitness Room membership add on	$250

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 unless canceled in writing. Corporate Dues billed annually. Dues subject to 8.875% NYC Tax.