Spousal Membership Application TO THE CLUB SECRETARY: Step 1 of 2 0% Candidate InformationPrefix:*Mr.Mrs.Ms.MissDr.Prof.Adm.Amb.Capt.Col.Com.GenHon.Lt.RabbiRev.First Name (required):* Middle Name: Last Name (required):* Name/ Membership # of spouse/partner:* Harvard Affiliations(s)/School(s) (required):* Graduation Year(s) (required):* Non Graduate Affiliation: Faculty Officer Board/Committee Member Non Graduate Affiliation Date(s) of Service: Harvard ID# (if known): Other Educational HistoryUndergraduate University/College (required):* Graduation Year (required):* Gender (required):* Male Female Date of Birth (required):* MM slash DD slash YYYY Format: mm/dd/yyyy Marital Status: Single Married Divorced Domestic Partner Membership InformationMembership Type (required):* Resident Suburban Non-resident Click here, for more info on membership typesOther Membership Category:FacultyOfficerBoard/Committee MemberCheck all that apply to you: Previously Applied for membership. 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ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Send Official Communication To:* Primary Business Interested in learning more about Fitness Membership? Yes Consent* By checking this box, I hereby sign and authorize the Welcoming Committee to make any necessary actions and inquiries to process this application. I also agree to abide by the Club's By-Lacws and House Rules if I become a member and to pay when due all Club charges as invoiced to me. CAPTCHA