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Member Information

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New Member Application

First name*

Last name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Mobile Phone*

Include Area Code

Email*

Birthday*

Month

Day

Year

Home Phone

Include Area Code

Profession*

Are you of Italian descent?*

Yes

Tell Us About Yourself*

Which of the following areas can you help the club?*

Bartending

Bookkeeping

Cooking

Event Helper

Handyman/Building Maintenance

Information Technology (IT)

Painting

Waiter

Social Media

Other

Do you have a spouse/partner?*

Yes

Spouse/Partner FIRST and LAST name

Spouse/Partner Mobile Phone number

Include Area Code

Are you related to a current or past member?*

Yes

Please enter the related past/current member's FIRST and LAST name.*

Do you have a sponsor?*

Yes

If "No" is selected, your application will be reviewed and a sponsor may be assigned.

What is your sponsor's FIRST and LAST name?*

Sponsor Mobile Phone*

Include Area Code

What is your Sponsor's Email Address?*

Please provide a FIRST and LAST name of a personal reference.*

We will be contacting your reference. It is recommended to notify them.

Reference Mobile Phone number*

Include Area Code

Reference Email Address*

Select the best times for us to call about your application.*

Early Morning (5am-8am)

Morning (8:01am-10:59am)

Late Morning (11am-12pm)

Early afternoon (12:01pm-3pm)

Late afternoon (3:01pm-5pm)

Early evening (5:01pm-7pm)

Night (7:01pm-10pm)

I understand I will need to monitor my email inbox (including spam) and phone(s) for correspondence from the Colombo Club. Failure to respond in a timely manner may result in denial of your application.

Colombo Club Inc.

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