Columbia University Club Logo

APPLICATION FOR MEMBERSHIP


Items with an asterisk (*) are required
A. PERSONAL INFORMATION

   Other:

*Last Name

*Is your Last Name different now than when you were enrolled at Columbia?


*If your Last Name was different please enter the name here:

All information given on this application is used solely for verification purposes. The Columbia University Club of New York will never distribute or sell this information to anyone.

B. SCHOOL INFORMATION

   

*Institution that granted that degree   

Institution that granted the degree    

If Columbia, which school

                                                     

 

 

C. BUSINESS INFORMATION

Note: if you enter an Employer name, then most of the other fields in this section will be required

Check here

Occupation

If your Occupation is Other- Define Other

D. HOME INFORMATION

Check here

*State

   Fax   

E. SPOUSE/PARTNER INFORMATION

Note: if you enter a Spouse name, then some of the other fields in this section will be required

if you wish a separate membership card for your spouse/partner. There is an $85 (plus tax) annual fee for spousal privileges. If you do NOT wish a separate spouse card, please skip to Section F.

   Other:

 

  Degree

  Degree

State

E-mail

Please bill the annual $85 spouse fee to   

F. HOW DID YOU HEAR ABOUT US?

G. REASONS FOR JOINING


        
     

In which type of Columbia University Club events are you most interested?
           
        
 

Enter Today's date (mm/dd/yyyy)

If elected into membership in the Columbia University Club of New York by its Admissions Committee, I agree to support and abide by the by-laws of the Club. I also understand that I will become an Associate Member of the Princeton Club of New York and agree to support and abide by the by-laws and house rules as set forth by the Princeton Club. I understand that if I wish to resign/discontinue my membership, I must do so in writing and that I will continue to be responsible for any outstanding house charges as well as annual dues pro-rated to the date of that resignation.

H. SEND YOUR DATA