Application for Signing Privileges

Please fill out the following application for signing privileges and submit to the Admissions office. Only existing members of the Club may fill out this form and request Signing Privileges.

The annual fee for signing privileges is 50% of your original annual dues amount (discounts such as joint membership or 25-year member rates do not apply). If you have any questions, please call the Admissions office at 212-827-1203 or email admissions@hcny.com.

APPLICATION FOR SIGNING PRIVILEGES
HARVARD CLUB OF NEW YORK CITY

To the House Committee:

I wish to apply for signing privileges for my spouse or domestic partner. My spouse will have a separate account, but I assume full responsibility for the payment of my spouse/domestic partner’s annual dues and all usage fees to my spouse/domestic partner’s house account. I understand that this signing privilege account is contingent upon my account as a full member of HCNY.

 

Your Information

Your Name (required)

Your Audit Number (required)

Your Email Address (required)

Your Class (required)

Residence (required)

Residence (continued)

Spouse's Full Name (required)

Spouse's Email Address (required)

Mailing Address

If different from Residence above

Mailing Address (continued)

Phone (required)

Format: (212) 555-5555 or international formats

 

Consent

 

Human Verification