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Membership Application

Membership in the Colombo Club is comprised of individuals of both Italian and non-Italian heritage all of whom must meet membership qualifications. The total number of members is limited; and there is currently a lengthy waiting list. Submission of a membership application does not guarantee or imply membership in the Colombo Club.

The Colombo Club welcomes new members who are interested in contributing to the ongoing advancement of the club. If you wish to obtain a membership application, please contact an existing member for sponsorship first. You then may complete a paper application or fill out the electronic version below.

Please send an email to us at jtmazibrook@earthlink.net with the below field answers.

"*" indicates required fields.

Your Name: * First Last
Phone: *
Email: *
Occupation: *
Native of: * 
Marital Status* Married Single Other
Spouse Name (if Married): *
Your Address: *
Street Address
Address Line 2
City
ZIP Code
Date of Birth: *
Sponsored By: *
Sponsoring member phone contact: *
Member Reference #1: *
Member Reference #2: *
Are you of Italian Origin? * Yes No
Are you the son or grandson of a Colombo Club member? * Yes No
Special Talent or Interest?
Are you interested in serving on a Commitee?

Additional Details:


Thank you for your interest in the Colombo Club and we hope to meet you soon!


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