APPLY FOR MEMBERSHIP

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Mr./Mrs./Ms./Miss./Dr.

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Phone

D.O.B.

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Please Check MEMBERSHIP OPTION:

Platinum Circle (two people) membership - $10,000

Individual age 40 and under - $2,250

Individual membership - $4,500

Name of Sponsor

Prospective members must be sponsored by current members or by the Membership Chair. If you do not know a member, please email membership@lincolnclub.org

I am interested in joining the Lincoln Club because (check any that apply)

I want to meet other businesspeople who share common values/Enjoy networking around politics

I am interested in becoming more informed about public policy issues and their impact on business

A friend recommended that I join

I am a former member and would like to re-join

I am ready to engage and affect political outcomes

Member Two

First Name (Member Two)

Last Name (Member Two)

Email Member Two

Phone (Member Two)

Employer (Member Two)

Job Title (Member Two)

Thank you for your application.

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