Membership Level *

Social
Social (45 & under)
Roosevelt

First Name *

Last Name *

Spouse or Partner's Name *

Enter N/A if applying as Individual

Email *

Phone *

Address *

City *

State *

Zip Code *

Are you a full-time or seasonal Vero resident? *

Full-Time
Seasonal

Birthdate *

May we send you SMS text messages? *

By checking "yes," you agree to receive text messages. Please note that you may be charged additional carrier fees.

Please upload a photo of yourself. (JPG or PNG) *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-80433-file2-1_

Maximum upload size 20MB.

Instagram Handle

If you don't have an Instagram handle, please type "N/A."

Alumni Affliations

Industry or Profession

Please share any other Clubs you are a member of. *

Please share your preferred wine, spirit or cocktail with us. *

Please share any allergies or dietary restrictions. *

How did you hear about the Club? *

Please provide two prospective members' contact info. *

Please provide names of two references *

I agree Terms and Conditions *

Signature *

Clear

Thank you for submitting an application to join the White Pelican Club.

Thank you for applying to the White Pelican Club.

Should your application be approved, you will be notified by email with instructions to complete the payment process.

If you have any questions, please feel free to contact us at membership@whitepelicanclub.com.

Sincerely,

The Membership Team

White Pelican Club

Thank you for submitting an application to join the White Pelican Club.

White Pelican Club - Membership Application

Thank you for applying to the White Pelican Club.

Should your application be approved, you will be notified by email with instructions to complete the payment process.

If you have any questions, please feel free to contact us at membership@whitepelicanclub.com.

Sincerely,

The Membership Team

White Pelican Club

Thank you for applying to the White Pelican Club.

Should your application be approved, you will be notified by email with instructions to complete the payment process.

If you have any questions, please feel free to contact us at membership@whitepelicanclub.com.

Sincerely,

The Membership Team

White Pelican Club

Contact