The Brierwood Club
Established 1924

Membership Application

We are pleased to consider your application. Please complete each section and have your sponsoring member sign below.

Applicant
Catherine Ashford
Architect
c.ashford@email.com
(555) 226-1840
18 Linden Crescent, Greenwich, CT 06830
Membership category
ResidentFull clubhouse, dining, and grounds privileges$4,200 / yr
SocialDining and social events; no athletic facilities$1,800 / yr
SportsTennis, pool, and fitness; limited dining$2,600 / yr
Junior (under 35)Full privileges at the reduced junior rate$2,100 / yr
Sponsorship
William Hartley
Margaret Coyle
Dues
One-time initiation fee $2,500.00
Annual dues (category selected) $2,600.00
Total due on acceptance $5,100.00
Payment
Catherine Ashford
•••• •••• •••• •••• Taken by the membership office — please do not write it here
Mastercard
9032
11/27
Billed securely upon acceptance — your full card number & CVV are never stored on this form.
Agreement

I hereby apply for membership in The Brierwood Club. If elected, I agree to abide by the Club's bylaws, house rules, and dress code, to pay my dues and house charges when due, and to conduct myself in a manner befitting the standards of the Club. I understand membership is subject to the approval of the Membership Committee.

I have read and agree to the Club bylaws and house rules.
Catherine Ashford
Applicant signature
June 18, 2026
William Hartley
Sponsoring member signature
William Hartley