Applicant Name
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First Name
Last Name
Name of Spouse or Partner (for couple memberships)
If you are applying for a couples membership, add the second person's name here.
First Name
Last Name
Applicant Cell Phone
(###)
###
####
Applicant Email
Applicant Home Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Applicant Office/Work Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Applicant Occupation
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How did you learn about the Roosevelt Library Social Club?
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Requested Membership Category
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The respective initiation fee is tax deductible because it goes to the Roosevelt Library Foundation 501(c)3.
Club Benefits Provided at No Charge
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Check the complimentary Club benefits in which you are most interested. Subject to availability. Check all that apply.
Club Standards Provided at No Charge
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Click the complimentary Club standards that you value. Check all that apply.
Club Dining
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Check the Club dining options in which you are most interested. Alcoholic beverages are a la carte. The per person service fee for breakfast, brunch, and lunch includes non-alcoholic beverages. All Club dining requires menu selections to be submitted at least one day in advance. Checks for food items are not presented at the conclusion of a meal as orders are placed at least one day prior. Beverage checks listing the items ordered are presented for a member signature but only for larger groups. Subject to availability. Check all that apply.
Regularly Scheduled Events
Check the events that interest you. Check all that apply.
Special Events
If you have attended events at the Roosevelt Library, please list them here.
Club Policies
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DRESS CODE POLICY: Open toed shoes, shorts, and hats for men are not allowed at any time. Athletic shoes and denim are not allowed for men or women after 6PM. Men are required to wear a jacket (sport coat, blazer, or suit coat) after 6PM. Ties for men are optional at all times unless, for example, the invitation for an event specifies otherwise.
CELL PHONE / SMART WATCH / SCREEN POLICY AT THE MEMBER RECEPTIONS: Phones, smart watches, and screens of any type are not allowed at the Member Receptions. Phone calls, texting, emailing, searching for information on the internet is not allowed during the Member Receptions.
PHOTOGRAPHY & VIDEOGRAPHY POLICY AT THE MEMBER RECEPTIONS: Photography, videography, and recordings of any type are not permitted.
HANDBAG POLICY: Handbags are not to be placed on the dining tables. Handbag hooks are available at the host stand.
GRATUITIES: The staff are instructed to graciously accept cash gratuities. However, it is preferred that members use the online tipping portal after an event or at the end of the year when gratuities are distributed to the staff.
Under 35 and Out-of-town Applicants
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This section is for those applying for the Under 35 or Out-of-town membership.
Credit Card Number
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Credit Card Expiration Date
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MM
DD
YYYY
Credit Card CVV Number
*
Credit Card Billing Zip Code
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Please indicate if you would like your application submitted to the RLSC membership committee for consideration.
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