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Firm Transfer Application
Firm memberships are transferable (A $250 Transfer fee will apply). Meaning, the membership stays with the firm. The individual cannot take their membership to another company should they resign. Change of cardholder designee within the Firm is permitted when the designee is approved by the Club’s Membership Committee. The Firm is responsible for all dues and purchases under its membership cards without exception.
**** Annual dues are billed to each member. Initiation fees and membership dues are non-refundable and subject to change. Your organization may choose to increase its number of Firm Members at any time. Designees may be changed with a $250.00 transfer fee.***
Thank you for your interest in membership at the Capitol Hill Club!
Date:
*
Date and time
Calendar
Now
Name of Firm:
*
(Organization, Corporation or Group)
Business Address:
*
City, State, Zip:
*
Business Telephone Nubmer:
*
(
)
-
First three digits
Second three digits
Last four digits
Title:
*
Mr.
Ms.
Mrs.
Dr.
Hon.
Transfer From:
*
Name of current Member & Member #
Title:
*
Mr.
Ms.
Mrs
Dr.
Hon.
Transfer To:
*
Name of Transfer Applicant
Business Title:
*
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
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
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.
Please provide a brief biography. (300 words minimum):
*
Security code:
*
Enter security code: