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Membership Application - APPLICATION SITE DOWN-Please call for an application 413-732-4101.

The fields in bold are required fields, so please be sure to complete them.
Click Here to Read the Colony Club Bylaws
Required field: The applicant agrees to conform and be bound by the bylaws, rules and regulations of the Colony Club, as that may be amended from time-to-time.
Title:
First Name:
Middle Initial:
Last Name:
Home Address (street):
City:
State:
Zip Code:
   
Home Phone:
Cell Telephone:
Preferred E-mail Address:
 
Date of Birth:
Gender:    Male  Female  
Spouse/Significant Other's Name:
Children's Name(s) and
Date(s) of Birth:
(if married please state first and last names)
Employment / Professional Information
Occupation:
Firm / Business Name:
Business Address:
City, State, Zip Code:
Business Telephone:
Business E-mail:
Fax Number:
Type of Business or Employment:
 
Preferred Billing Address:
   Home   Business  
   
References
Sponsor:
Co-Sponsors(3):
 
 
No sponsor or co-sponsor can be a current Board Member
and at least one sponsor/co-sponsor must be a Member of the Membership Committee

Member Classifications

I am applying for membership in the following category:

Resident:
Intro Resident B:
Resident B:
Legacy:
Senior Retired:
Associate:
 
Please list other organization/club affiliations:
 
Primary reason for joining:
 
Primary reason for joining:
 
Are you interested in
participating in Club Committees?:
   Yes   No  
 
Other:
 
     
Unique Talents
Available for Club Benefit:
 
 
After you submit this online application, the Membership Liaison will contact you to activate the membership process.
 

 
 
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