Summer

First Name*

Last Name*

Business Information

Firm Name*

Business Address: City: State: Zip Code: Country:

Business Phone:

Business Email:

Position:

Nature Of Business:

Personal Information

Residence Address: City: State: Zip Code: Country:

Residence Phone:

Cell Phone:

Personal Email:

Member of Other Clubs (optional)

Date of Birth:

Place of Birth:

Married/Single?

Married
Single

Spouse's Name

Spouse's Email:

Spouse's Cell Phone:

Children (Names & Ages- Optional)

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Business Address
Resident Address
Business Email
Personal Email

Type of Membership

Full (Athletic & Dining)

24/7 access to athletic facility and group fitness classes. Dining at the 10th Floor Dining Room and AC Dining Room. All social events at the Club. Private room rental ability and reciprocal club usage.

Junior Full Membership (30 & Under) $50 monthly dues + $240 annual food and beverage minimum.
Young Adult Full Membership (Ages 31-35) $75 monthly dues + $300 annual food and beverage minimum.
Associate Membership (Ages 36-40) $100 monthly dues + $380 annual food and beverage minimum.
Executive Membership (Ages 41 & Up) $115 monthly dues + $480 annual food and beverage minimum.

Social (Dining Only)

$40 monthly dues + $480 annual food and beverage minimum. Dining at the 10th Floor Dining Room and AC Dining Room. All social events at the Club. Private room rental ability and reciprocal club usage.

Social Membership

Non-Resident

(Must reside & work outside a 25-mile radius of the Club)

Full Non-Resident (Dining & Athletic) $140 quarterly dues + $0 food & beverage minimum.
Social Non-Resident (Dining Only) $70 quarterly dues + $0 food & beverage minimum.

Date

Sponsor

Summer Newsletter

Hours

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Business Information

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Type of Membership