INDIVIDUAL MEMBERSHIP AND ASSOCIATE NOMINATION FORM

SECTION 1 - PRIMARY MEMBER INFORMATION

Applicant Name(Required)

First Last

Preferred Salutation(Required)

Let Me Type

Date of Birth* (dd/mmm/yyyy)(Required)

Gender(Required)

Let Me Type

Preferred Pronouns (ex: she/her)(Required)

Let Me Type

PERSONAL INFORMATION

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Email(Required)

Phone(Required)

Phone Type(Required)

WORK INFORMATION

Title/Position

Business Name

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Email

Business Phone

Phone Type

SECTION 2 - MEMBERSHIP CATEGORY

To determine the membership category for which you best qualify and the associated entrance fee, please see Appendix. Please note, the Member (Senior) and Member (Non-Resident) categories are not available to new members.

Select the appropriate member category for which you are applying:

Membership category(Required)

MEMBER

MEMBER (Under 40) - must provide copy of ID supporting date of birth

ASSOCIATE (Diplomatic)

SECTION 3 - 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 4 - Request for a Business Account (optional)

By default, the primary membership is a personal membership. If you wish to establish a secondary account for business-related charges, please provide the appropriate business and contact information below.

By checking either box below you are requesting that a sub-account be established and are accepting responsibility for all charges incurred by you on this account.

Untitled

Same Account Profile Information as provided in Section 1

Different (complete below)

Title/Position

Business Name

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Email

Business Phone

Phone Type

SECTION 5 - Partner/Spouse Information (optional)

Partners/Spouses are entitled to use and access the Rideau Club as per the By-Laws and House Rules. Please provide the following information about your partner/spouse, if applicable. A specimen of their signature will be collected upon approval.

Partner/Spouse Name

First Last

Occupation

Date of Birth (dd/mmm/yyyy)

Preferred Pronouns (ex: she/her)

Let Me Type

Preferred Salutation

Let Me Type

Phone

Phone Type

SECTION 6 - Authorization for Related Party (optional)

Authorize

Partner/Spouse (as provided above)

Other (complete below)

Name(Required)

First Last

Title (if applicable)(Required)

Relationship to Member(Required)

Email(Required)

Phone(Required)

Phone Type(Required)

SECTION 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:

Personal

Business

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 via Email

Email Address(Required)

Home Address

Business Address

Partner/Spouse

Related Party

Address(Required)

Home Address

Business Address

Business & Meeting Notices(Required)

Send via Email

Email Address(Required)

Home Address

Business Address

Partner/Spouse

Related Party

Address(Required)

Home Address

Business Address

Events & Announcements(Required)

Send via Email

Email Address(Required)

Home Address

Business Address

Partner/Spouse

Related Party

Address(Required)

Home Address

Business 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, Click Here

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.

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, 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.

Signature(Required)

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Date

Appendix

Download the By-law here