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Membership Application
All member applicants must have two current members sponsor them.
Please have your sponsors complete the
Sponsorship Confirmation Form
prior to submitting with your application.
All confirmation forms are required to be submitted with your application.
*Initiation fee and dues structures are determined by your age at the time of enrollment.
Thank you for your interest in membership at the Capitol Hill Club!
Individual Membership
Date:
*
Date and time
Calendar
Now
I hereby apply for Capitol Hill Club membership in the following category:
*
Junior Associate Membership
- Individuals Ages 21-29 Initiation Fee $1500, Monthly Dues $80, Quarterly Food/Beverage Minimum $105
Junior Resident Membership
- Junior Resident Member Ages 30-34 Initiation Fee $3500, Monthly Dues $132, Quarterly Food/Beverage Minimum $120
Resident Membership
- Individuals Age 35 & Over. Initiation Fee $7000, Monthly Dues $180, Quarterly Food/Beverage Minimum $250
Government Membership
- Individuals employed by the federal government & Active Military. Initiation Fee $2500, Monthly Dues $92, Quarterly Food/Beverage Minimum $250
Non-Resident Membership
- No office or residence within 75 miles of Washington, DC. Initiation Fee $3000, Annual Dues $675
Title (Mr./Ms./Mrs./Dr./Hon.) :
*
Mr.
Ms.
Mrs.
Dr.
Hon.
Full Name:
*
Preferred Name on Membership Card:
*
Home Address:
*
City, State, Zip:
*
Home/Cell Phone Number:
*
(
)
-
First three digits
Second three digits
Last four digits
DOB:
*
Date and time
Calendar
Today
Business/Employment:
*
Name of Employer
Is this a federal position:
*
Yes
No
Business Address:
*
City, State, Zip:
*
Business Telephone Nubmer:
*
(
)
-
First three digits
Second three digits
Last four digits
Primary Email Address:
*
E-mail Address to receive copy of E-Statements:
*
Send correspondence to:
*
Home Email
Business Email
I would like a membership card for my spouse:
*
Yes
No
Spouse Full Name & Email Address:
Spouse DOB :
Date and time
Calendar
Now
Have you ever been a member of the Capitol Hill Club? :
*
Yes
No
Sponsorship Confirmation submitted:
Please have your 2 sponsors submit their confirmations prior to submitting. (link above)
Please provide a brief biography. (300 words minimum):
*
Security code:
*
Enter security code: