Alliance Française Chapitre Rochambeau Membership Application
Thank you for your interest in our Club! Please complete the form below and pay by PayPal to instantly apply for membership! Membership Fee: $30/individual/year, $45/couple or family/year.
Email address *
New or Renewing member? *
Your Last Name / Nom de Famille *
Your answer
Your First Name / Prénom *
Your answer
Spouse / Partner's Name (if applicable)
Your answer
Number of Children under 12 (if applicable)
Your answer
Your Native Language (and spouse's, if applicable) *
Your answer
Your Mailing Address *
Your answer
Your Telephone Number *
Your answer
In which activities are you interested? *
Are there ways in which you might want to volunteer or help our Club? *
Your personal information is NEVER shared publicly or for commercial purposes. However, a membership directory is distributed annually to all members.
You may elect to withhold your contact information from the directory, but your name will still be shared with others.
Do you consent for information other than your name (i.e. contact information) to be shared privately with other Alliance Française members?
Lastly, how did you hear about us?
Thank you for your membership! Your dues will go to support French cultural activities throughout Richmond and Central Virginia.
After clicking "Submit," please pay the appropriate membership fee through the PayPal link, below.

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