Join Us

Thank you for your interest in joining our ever growing network of business owners, bankers, judges and many other prominent community members.

To join us, simply fill out our online application using the form below. As an alternative, you may also download our application as a PDF form and email it to our General Manager, Mark E. Sollars at manager@lafayetteclub.net or mail the completed form to:

The Lafayette Club of York
Attention: Mark E. Sollars
59 East Market Street
P.O. Box 1404
York, PA 17401

If you have any questions, please feel free to call the Club House at (717) 848-2896.

Membership Application

February 22, 2012

I, (full name) hereby make application for admission into the Lafayette Club of York, PA, as a member.

Resident and Corperate members shall be those members who either maintain their residence within York County for a period of six months or more out of each year or have a place of business or employment within York County. Junior and non-resident members shall not have the right to voteor hold office nor acquire ownership in the property of the Club. They shall have every other right of resident members.

Please furnish the following information:

First Name:

Middle Name:

Last Name:

Preferred Name for use on membership card:

Name of Spouse:

Date of birth:

Home Address:

City:

State:

Zip:

Telephone:

Email Address:

Former Place of residence (Past 10 years):

Company/Firm Name:

Business Address:

City:

State:

Zip:

Telephone:

Principle Products/Services:

Please indicate preferred address for billing purposes (home, business):
Home Business

First Child's Name:

Date of Birth:

Second Child's Name:

Date of Birth:

Third Child's Name:

Date of Birth:

Fourth Child's Name:

Date of Birth:

Higher Education:

Member of the Following Clubs:

Civic Groups and Boards:

Interests and Hobbies:

By submitting this application the applicant consents to the Lafayette Club obtaining a credit/personal report concerning Applicant from the Credit Bureau of York, Inc. to release information from it's files or available to it from any subscriber service to the Lafayette Club.