Membership Update | The High Lane Club

High Lane Club Member Update

Please fill in each box below.

When finished, click the button at the bottom of the page to submit form.

Primary Member/Billing Contact First Name

Primary Member/Billing Contact Last Name

Email for billing/account management

Member Phone

First Name Partner/Spouse

Last Name Partner/Spouse

Street Address

City

State

Zip Code

Occupation

Place of Business - If retired, enter retired below

Work Phone

Work Email

Occupation Spouse/Partner

Place of Business Spouse/Partner - If retired, enter retired below

Spouse/Partner Work Phone

Spouse/Partner Work Email

Family member 1 Name

Family member 1 Birthdate

Family member 2 Name

Family member 2 Birthdate

Family member 3 Name

Family member 3 Birthdate

Family member 4 Name

Family member 4 Birthdate

Babysitter's name (if applicable)

Please specify any skills or services you would like to share with the membership

Thank you for your interest in the High Lane Club. A confirmation email has been sent to the email address entered above. We'll review your application and be in touch soon!

High Lane Club Member Update

High Lane Club

40 High Lane, North Haven, CT 06473

203-248-2203

Email: office@highlaneclub.com