CORPORATE MEMBERSHIP REGISTRATION CORPORATE MEMBERSHIP REGISTRATION SECTION 1 - PRIMARY CORPORATE MEMBER INFORMATION CORPORATION or BUSINESS INFORMATIONTitle/Position(Required) Business Name(Required) Industry(Required) Business Website(Required) Business Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business Email(Required) Business Phone(Required)Phone Type(Required)MobileHomeWorkPERSONAL INFORMATIONApplicant's Name First Last Preferred Salutation(Required)Mr.Mrs.Ms.Dr.H.E.Col.Let Me TypeLet Me Type DateDate of Birth* (dd/mmm/yyyy)(Required) DD slash MM slash YYYY Gender(Required)MaleFemaleNon-BinaryLet Me TypeLet Me Type Preferred Pronouns (ex: she/her)(Required)He/HimShe/HerThey/ThemLet Me TypeLet Me Type Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Personal Email(Required) Phone(Required)Phone Type(Required)MobileWorkHomeSECTION 2 - NOMINATION SUPPORT A proposer and seconder are required for an application to be considered complete. If you are unable to secure one or both of these endorsements at the time of submission, you may leave this section blank and the Rideau Club will endeavour to secure nominators on your behalf. Please note that this may delay your application process.Proposer Name Seconder Name SECTION 3 - ADDITIONAL CORPORATE ASSOCIATES A corporate membership application must contain a minimum of two corporate associates. These individuals are entitled to use and access the Club as per the By-laws and House Rules. Please note that only the Primary Corporate Member is a shareholder of the Rideau Club.CORPORATE ASSOCIATE YTitle/Position Applicant Name First Last Preferred SalutationMr.Mrs.Ms.Dr.H.E.Col.Let Me TypeLet Me Type Date of Birth (dd/mmm/yyyy) DD slash MM slash YYYY GenderMaleFemaleNon-BinaryLet Me TypeLet Me Type Preferred Pronouns (ex: she/her)He/HimShe/HerThey/ThemLet Me TypeLet Me Type Business Email Business PhonePhone TypeMobileWorkHome CORPORATE ASSOCIATE ZTitle/Position Applicant Name First Last Preferred SalutationMr.Mrs.Ms.Dr.H.E.Col.Let Me TypeLet Me Type Date of Birth (dd/mmm/yyyy) DD slash MM slash YYYY GenderMaleFemaleNon-BinaryLet Me TypeLet Me Type Preferred Pronouns (ex: she/her)He/HimShe/HerThey/ThemLet Me TypeLet Me Type Business Email Business PhonePhone TypeMobileWorkHomeSECTION 7 - Communications MEMBER ROSTER As a member of the Rideau Club, your name will appear on the membership roster located in the restricted Member’s Section of the Rideau Club website. You will be able to manage the information displayed and accessible to your fellow members once you receive your login credentials, which will be sent by email.What email address would you like to use for access to the online portal (Primary Corporate Member):(Required) What email address would you like to use for access to the online portal (Corporate Associate X):(Required) What email address would you like to use for access to the online portal (Corporate Associate Z):(Required) CONTACT PREFERENCES Please indicate where the communications outlined below should be directed by checking the appropriate boxes. You must select the method of communication for each of the 3 types of information.Account Invoices & Statements(Required) Send to Emails Provided Email Address(Required) Business Address Corporate Member/Associate Address Related Party Address(Required) Business Address Corporate Members Address Business & Meeting Notices(Required) Send to Emails Provided Email Address(Required) Business Address Corporate Member/Associate Address Related Party Address(Required) Business Address Corporate Members Address Newsletters, Events & Club Announcements(Required) Send to Emails Provided Email Address(Required) Business Address Corporate Member/Associate Address Related Party Address(Required) Business Address Corporate Members Address By selecting email, you are agreeing to receive electronic communications from the Rideau Club.SECTION 8 - Fees, Dues, Special Assessments, Minimums and Methods of Payments For details on entrance, transfer or reinstatement fees, annual membership dues, minimum house account charges and special assessments, as well as payment options and schedules, see below. As a member, you are responsible to pay all fees, dues and levies associated with membership, as well as any charges incurred at the Club, in a timely manner to keep and enjoy reciprocal benefits and retain a member in good standing status. Download Fee ScheduleConsent(Required) I agree to the above.(Required)SECTION 9 - Acknowledgement and Authorization I understand and agree that the Rideau Club will retain certain necessary member information required for the proper conduct of its affairs and that I may review it at any time. I agree to inform the Rideau Club, in a timely manner, of any changes to my membership status, address, email, communication preference, or preferences regarding the distribution of information to other club members. I consent to the broadcast of my name, profession, employer, and likeness to the current membership under the guidelines of Section 20.01 (ii) of the By-Laws. If the Rideau Club accepts my application for membership, on behalf of my corporation I hereby agree to pay all applicable fees and accounts, as they become due, and to accept, abide and be governed by the By-Laws and Regulations passed by the Club and its shareholders.PRIMARY CORPORATE MEMBER SIGNATURE(Required)HiddenDate MM slash DD slash YYYY Appendix Download the By-law hereConsent(Required) I've downloaded and agreed to the By-law(Required)