Membership Application Company Last Name * First Name * Spouse's First Name * Email Address * Preferred Mailing Address: Street * City * State * Zip * Cell Phone * Work Phone Home Phone Preferred Method of Contact * Cell Email Mail Eligibility: Name of Relation * Relationship * Select Spouse Child State * Position * Select Senate House Cabinet Supreme Court Political Party Affiliation * Democrat Republican Date of Birth (optional) Choose Type of Membership * Life Member: $2,000.00 (one time investment) Member $ 150.00 / year (Spouse of Sitting Member of Congress must be Active Member) Associate Member $ 150.00 / year
