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.

**** 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!

Firm Membership Application

Date:*

Now

I hereby apply for Capitol Hill Club Firm membership in the following category:*

First Member
- Initiation Fee $7000, Annual Dues $2364, Quarterly Food/Beverage Minimum $250
Second or Third Member
- Initiation Fee $6500, Annual Dues $1950, Quarterly Food/Beverage Minimum $150
Fourth +Member
- Initiation Fee $6000, Annual Dues $1725, Quarterly Food/Beverage Minimum NONE

**** 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.***

Business/Employment:*

Name of Firm

Business Telephone Nubmer:*

()-

List Current CHC Firm Members:*

Title:*

(Mr./Ms./Mrs./Dr./Hon.)

First Member Name:*

Full name

DOB:*

Today

Home Address:*

Home/Cell Phone Number:*

()-

Primary Email Address:*

E-mail Address to receive copy of E-Statements:*

Please provide a brief biography.:*

I would like to request a membership card for my spouse:

Send Spouse Name, DOB, & Email to [email protected]

Title:

(Mr./Ms./Mrs./Dr./Hon.)

Second Member Name:

Full Name

DOB:

Today

Home Address:

Home/Cell Phone Number:

()-

Primary Email Address:

E-mail Address to receive copy of E-Statements:

Please provide a brief biography.:

I would like to request a membership card for my spouse:

Send Spouse Name, DOB, & Email to [email protected]

Title:

(Mr./Ms./Mrs./Dr./Hon.)

Third Member Name:

Full Name

DOB:

Today

Home Address:

Home/Cell Phone Number:

()-

Primary Email Address:

E-mail Address to receive copy of E-Statements:

Please provide a brief biography:

I would like to request a membership card for my spouse:

Send Spouse Name, DOB, & Email to [email protected]

Title:

(Mr./Ms./Mrs./Dr./Hon.)

Fourth Member Name:

Full Name

DOB:

Today

Home Address:

Home/Cell Phone Number:

()-

Primary Email Address:

E-mail Address to receive copy of E-Statements:

Please provide a brief biography:

I would like to request a membership card for my spouse:

Send Spouse Name, DOB, & Email to [email protected]

Title:

(Mr./Ms./Mrs./Dr./Hon.)

Fifth Member Name:

Full Name

DOB:

Today

Home Address:

Home/Cell Phone Number:

Primary Email Address:

E-mail Address to receive copy of E-Statements:

Please provide a brief biography:

I would like to request a membership card for my spouse:

Send Spouse Name, DOB, & Email to [email protected]

Security code:*

Enter security code: