1) original, signed application 2) personal resume or bio 3) check for the Initiation Fee
Application for Membership
Mr. Mrs. Ms. Dr. Hon. Marital Status: Single Married ______Previous Member Y N
Name ______Date of Birth ______
FIRST MIDDLE LAST
Name of Firm______Title ______
Business Address ______Type of Business ______
STREET SUITE
______Bus Phone (______)______
CITYSTATE ZIP
Business E-mail ______Fax ______
Home Address ______Home Phone (______)______
STREET
______Cell Phone (______)______
CITYSTATE ZIP
Personal E-mail ______Social Security No. ______
- Preferred Harbor Club e-mail address: Business Personal
- Preferred Harbor Club Statement Mailing address: Business Home
(All Corporate Individual Member statements must be mailed to a business address)
Mr. Mrs. Ms. Dr. Hon. Spouse Information
Name ______E-mail ______
FIRSTMIDDLE LAST
Name of Firm ______Bus.Phone (______) ______-______
Firm Address______
STREET SUITE CITY STATEZIP
Sponsorship
All applications shall be endorsed by at least two members in good standing. If no sponsor is available, or a second is needed, the Membership Committee may provide sponsorship.
Proposed by ______
Namesignature number
Proposed by ______
Namesignature number
Get Connected! The Harbor Club would like to connect with you!
Member Profile: ______Spouse Profile: ______
Member: @______Company: @______Spouse: @______
Member Profile: ______Spouse Profile: ______
Make the most of your membership…
InterestsPlease indicate your interests at The Harbor Club (check all that apply):
Networking Events Fine Dining Social Events Charitable Auctions
Catering Meeting & Event Facilities Affiliate Clubs Family Events
Business Promotion Speaking Engagements Winemaker Dinners Other ______
Are you or your spouse interested in attending any events for:
Puget Sound Business Journal CFA Society of Seattle CEOtoCEO
Rotary Club of Bellevue Seattle Mortgage Bankers Association Women Business Owners
Would you or your spouse be interested in speaking at future Harbor Club events? Y N
If yes, please list possible topics: ______
Are you or your spouse interested in possibly joining the Social & Wine or Membership Committee? Y N
If yes, which one: ______
Are you a member of the Rotary Club of Bellevue? Y N
Are you a member of the Chamber of Commerce? Y N
Affiliations
List any other Private Club, Non-Profit or Civic Involvements:
______
______
- All applicants authorize The Harbor Club to review credit and employment history through a credit-reporting service. All reports remain the property of The Harbor Club and are deemed confidential and for the sole use of the Membership Department.
- All applicants and members agree to the payment of all accounts upon receipt of their monthly statement and to be personally responsible for all accrued dues and charges as a result of the use of their membership, including any applicable late charges and other associated fees and costs of recovery on past due accounts.
- All initiation fees must be paid in the form of a check, payable to The Harbor Club.
- Applicants and members agree to abide by all Club Bylaws, Rules and Regulations.
- Applicants and members agree that their membership may not be used by any non-member or extended to any other person other than a spouse or domestic partner. The member is ultimately responsible for all charges to their account.
Date ______
SIGNATURE OF APPLICANT
Please mail Application, Bio and Initiation Fee to:
The Harbor Club Membership Dept.
801 Second Ave 17th Floor Seattle, WA 98104