SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT

Size: px
Start display at page:

Download "SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT"

Transcription

1 SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT 501 WILMINGTON ISLAND ROAD SAVANNAH, GEORGIA

2 Savannah Country Club Levels Golf (30yrs- 71yrs) Monthly dues are $ Full Golf includes the use of ALL facilities of The Savannah Country Club. Senior (72yrs- 79yrs) Monthly dues are $ Senior Full Golf includes the use of ALL facilities of The Savannah Country Club. Intermediate Golf (21yrs- 29yrs) Monthly dues are $ Intermediate Golf includes the use of ALL facilities of The Savannah Country Club. At age 30, members will upgrade to Golf without having to pay any additional initiation fees. Monthly dues will be the current rate at the time of the upgrade. Out of Town Golf Out of Town Golf includes the use of ALL facilities of The Savannah Country Club. To qualify for this membership, an applicant must live outside a radius of 50 miles. Monthly Dues are $ Full Golf includes the use of all facilities of The Savannah Country Club. Senior 80 (80yrs & up) Tennis (21yrs- 71yrs) Senior Tennis (72yrs & up) Social Monthly dues are $ Senior 80 includes the use of ALL facilities of The Savannah Country Club. Tennis includes the use of all facilities of The Savannah County Club except golf. Monthly dues are $ Senior Tennis includes the use of all facilities of The Savannah Country Club except golf. Monthly dues are $ Social includes the use of all facilities of The Savannah Country Club except golf and tennis. Monthly dues are $145.00

3 I do hereby submit my application for membership to The Savannah Country Club. (the Club ). I have initialed the category of membership for which I am applying. I further initialed the method of payment I wish to use in paying my monthly charges and have signed the past due charge authorization section. I have provided a valid MasterCard or Visa Card through the Bank of my choice or a valid Discover Card or American Express. The undersigned, hereinafter referred to as Applicant, hereby applies for membership to The Savannah Country Club, hereinafter referred to as Owner, for the right to use the club facilities as applied for and as defined below, subject to the terms hereof and to the terms of those rules and regulations formulated from time to time by the Officers and Directors of the Owner. Applicant hereby agrees that acceptance of this application by the Owner, the Applicant s rights with respect to the Club shall be in accordance with and subject to the following: 1. CLUB. The Club is hereby defined to consist of and include the golf course, swimming pool, tennis courts, clubhouse and pro shops located on the property on Wilmington Island in Chatham County, Georgia, known as The Savannah Country Club. 2. LICENSE. Applicant shall have the privilege to use portions of the Club to which the application applies, subject to the terms of this agreement and further subject to the rules from time to time promulgated by the Club, until this agreement is terminated. 3. FEES. Applicant has heretofore paid, or shall pay upon delivery of this application to Owner, an initiation fee of $ and will pay the entire amount with this application or in the appropriate payments as described in the application, for the right to use the Club. Such initiation fee shall be non-refundable unless Applicant s rights hereunder are terminated without cause by the Club as provided in Paragraph 5 hereof. In addition to the initiation fee, applicant acknowledges that to maintain the right to use the Club, Applicant shall pay the monthly dues and any assessments from time to time set by the Board of Directors of the Club, and shall pay for goods and services purchased at the Club. 4. RULES. Applicant acknowledges receipt of a copy of the Club Rules. Club through its Officers and Directors may, at any time and from time to time and at its sole discretion, modify, expand, or eliminate any of the Rules, provided that such charges are in writing and are available at the Club for inspection by Applicant. The Rules as they exist on the date this agreement is signed and any subsequent amendments thereto are incorporated into and made a part of this agreement. Applicant shall at all times abide by and comply with the Rules. Any breach of the Rules by Applicant shall give Club the right to terminate the Applicant s right to use any portion of the Club or Applicant s membership. 5. TERMINATION. Club may also at any time after notice terminate this agreement with Applicant, for cause, upon breach of any term or condition hereof by Applicant, including but not limited to non-payment of dues, fees, charges or assessments, or breach of the Rules. Upon such termination, for cause, there shall be no refund of the Initiation Fee or any dues paid prior to the time of termination. Club may also at its sole discretion terminate this agreement at any time, without cause and without prior notice to Applicant. Such termination will take effect upon date of mailing of notice of such termination without cause. If membership of Applicant is terminated without cause, Club will owe to Applicant the Refundable Amount of Applicant s Initiation Fee (without interest), and any prepaid dues. The Refundable Amount is computed by reducing the original Initiation Fee by 20% for each full twelve (12) successive month period during which the Applicant has been a member of the Club. Payment of any refund by Club may be deferred at Club s discretion for a period of up to forty-five (45) days from the date that notice of termination was sent to Applicant. Upon termination of this agreement for any reason, Applicant shall have no further rights hereunder (except the right to payment of the refund for termination without cause). However, Applicant shall remain liable to Club for any unpaid fees, assessments and dues that have accrued prior to termination and for any unpaid charges by Applicant for goods and services from the Club. 6. LIABILITY. Applicant, for him/herself, any member of his/her family, or any other party using the Club as a guest of Applicant, agrees that Club shall not be liable to Applicant or any member of Applicant s family or any other party using the Club as a guest of Applicant for any loss, injury, death or damage resulting from the sole negligence of Owner. 7. FAMILY. The Initiation Fee paid hereunder by Applicant shall, unless Club is given written notice to the contrary, entitle Applicant s spouse and unmarried child or children under the age of twenty-one (21) residing

4 with the Applicant to use the portions of the Club covered hereby, subject to the provisions hereof and the Rules. Applicant shall be responsible for the action of such family members as well as any bills or charges incurred by them at the Club and any damage done by them to Club facilities, and any violation by any such family member of the Club Rules shall constitute a violation by Applicant. 8. ASSIGNMENT AND TRANSFER. Applicant shall not have the right to transfer or assign any rights or obligations hereunder. 9. APPLICABLE LAW. This agreement shall be governed by and construed and enforced in accordance with the laws of the State of Georgia. 10. ENTIRE AGREEMENT. This agreement contains the sole and entire understanding between Owner and Applicant with respect to the Club, and all promises, inducements, offers, solicitations, agreements, representations, and warranties heretofore made are merged into this Agreement. This Agreement shall not be modified or amended in any respect except by written agreement executed by or on behalf of the parties to this Agreement in the same manner as this Agreement is executed. 11. SEVERABILITY. If any term or provision of this agreement is held illegal, invalid, or unenforceable, such illegality, invalidity, or unenforceability shall not affect the legality, validity, or enforceability of the remainder of this agreement. Applicant s Signature Spouse s Signature ********************************************************************************************************************************** **** Committee Action: Approved Declined Comments: By Chairman: Board Action: Approved Declined By President: Accepted On: Initiation Fee $ Member Number: Package: Received:

5 APPLICANT INFORMATION Mr. Mrs. Ms. Dr. Name Preferred Name_ Jr. Sr. Other of Birth / / Home Address City State Zip Home Phone Other Phone_ Marital Status Single Married Business Name Type of Business Title Business Address City State Zip Business Phone Please send s to this address SPOUSE / SIGNIFICANT OTHER INFORMATION Mr. Mrs. Ms. Dr. Name Preferred Name Jr. Sr. Other_ of Birth / / Business Name Type of Business Title Business Address City State Zip Business Phone Please send s to this address DEPENDENT INFORMATION (Unmarried children under 21 residing with Applicant) Name(s) of Birth Charge Privileges / / Son Daughter Yes No / / Son Daughter Yes No / / Son Daughter Yes No / / Son Daughter Yes No

6 REFERENCES Our Member Sponsor is: Phone Other Personal References (can be non-member): Name Address Phone Name Address Phone Name Address Phone MEMBERSHIP INFORMATION I/We am/are applying for in the following category: Initiation Fee $ I/We understand Section 5 of the Application and Agreement with regards to the non-refundable Initiation Fee. PAYMENT OF MEMBERSHIP ACCOUNT I/We would prefer monthly statements to be mailed to: Home Applicant s Business Payment of Account, including all dues, fees and other applicable charges, is due upon receipt of the monthly statement. If accepted for membership, I/We agree to pay the account in full when due. I understand that all accounts become past due the 25 th of each month. If my account is not paid by this date, penalties may include, but are not limited to, suspension of Club privileges and/or expulsion from membership. I/We further agree to maintain a major credit card account in my/our name on file with the Club at all times. In the event that my/our account becomes more than thirty (30) days past due, The Savannah Country Club shall have the right to bill such past due amount to my/our credit card. By signing below, I/We agree to and fully authorize all such charges to credit card account(s) listed below. Credit Card Issuer: Credit Card Issuer:_ Cardholder Name: Cardholder Name: Card Number: Card Number: Exp. : / Exp. : / Please Initial One Selection Below: I prefer to have my monthly charges BILLED TO THE ABOVE CREDIT CARD. I will receive a copy of all my charges once a month detailing the amounts billed. I prefer to pay monthly charges BY CHECK upon receipt of my monthly statement. I/We authorize The Savannah Country Club to check my/our credit and employment history and to obtain such information as the Club deems necessary to {accept my/our application and to} extend credit to me/us under my/our membership account at The Savannah County Club. Applicant s Signature Spouse s Signature

The DuPont Country Club 2018 Membership Application

The DuPont Country Club 2018 Membership Application APPLICANT NO. 1 The DuPont Country Club 2018 Membership Application For questions, call the Membership Office at (302) 421-1722. PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. APPLICANT INFORMATION OFFICE

More information

APPLICATION FOR MEMBERSHIP

APPLICATION FOR MEMBERSHIP APPLICATION FOR MEMBERSHIP Membership Desired Regular Golf Junior Golf Non-Resident Tennis THE LAKEWOOD CLUB TERMS AND CONDITIONS FOR MEMBERSHIP APPLICATION By signing The Lakewood Club Membership Application

More information

Country Club of Culpeper Application for Membership PERSONAL

Country Club of Culpeper Application for Membership PERSONAL Application for Membership PERSONAL Name Mr. Mrs. Ms. Street Address City State ZipCode Telephone Home: Work: Email: Date of Birth Social Security No. Spouse s Name Mr. Mrs. Ms. Date of Birth Social Security

More information

Membership Offerings TRANSITIONAL MEMBERSHIP FULL GOLF MEMBERSHIP SOCIAL MEMBERSHIP (LIMITED AVAILABILITY) SPORTS MEMBERSHIP CLUBHOUSE MEMBERSHIP

Membership Offerings TRANSITIONAL MEMBERSHIP FULL GOLF MEMBERSHIP SOCIAL MEMBERSHIP (LIMITED AVAILABILITY) SPORTS MEMBERSHIP CLUBHOUSE MEMBERSHIP 2 1 7 9 B a h a m a R o a d, Membership Offerings FULL GOLF MEMBERSHIP INITIATION FEE $4,000 (non-refundable) MONTHLY DUES $445 family/$330 single DINING MINIMUM $60/month family or $40/month single PRIVILEGES

More information

Membership Application

Membership Application Membership Application 25 Club Road Newton, NJ 07860 (973) 383-4817 www.newtoncountryclub.org Type of Membership Desired Check One: Membership Category Pre-Paid Golf Member Dues Total Dues -25% Discount

More information

MEMBERSHIP APPLICATION FORM

MEMBERSHIP APPLICATION FORM Name of Applicant: Name of Proposer: Name of Sponsor: MEMBERSHIP APPLICATION FORM Date: I/we hereby apply for the membership classification in the Race Brook Country Club, Inc., and agree that if my/our

More information

2018 MEMBERSHIP OPTIONS

2018 MEMBERSHIP OPTIONS 2018 MEMBERSHIP OPTIONS Unlimited Allows the designated Member (or couple) unlimited golf play seven days per week. Tee times may be made up to 14 days in advance. Weekday Plus Allows the designated Member

More information

Membership Application

Membership Application Membership Application 2287 Club House Rd Glen Rock, Pennsylvania 17327 717-235-2091 www.bonaircc.com Type of Membership Desired Check One: Full Golf Memberships o Full Family o Young Family o College

More information

Subscription for a Share and Membership Application for the. The Winston Golf Club Ltd. (the Club ) Applicant Information

Subscription for a Share and Membership Application for the. The Winston Golf Club Ltd. (the Club ) Applicant Information Subscription for a Share and Membership Application for the The Winston Golf Club Ltd. (the Club ) Applicant Information Title (Mr., Mrs. Ms. Dr.) Date of Birth Last Name, First Name, and Middle Initial

More information

BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP

BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP Welcome to Brooksville Golf & Country Club (BGCC). Please complete the following application and member information form as thoroughly as possible.

More information

2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT

2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT 2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT This Packet includes the following: 1. Membership Agreement - Must be completed 2. New member contact Information - Must be completed to get discount 3.

More information

M EMBERSHIP A PPLICATION

M EMBERSHIP A PPLICATION M EMBERSHIP A PPLICATION P ERSONAL I NFORMATION Name (Please Print):! Mr.! Mrs.! Ms.! Dr.! Other Home Address: Home Phone: Primary Email: Out-of-Town Address: Cell Phone: Date of Birth: Applicable Dates:

More information

Top Shot Membership INDIVIDUAL & FAMILY MEMBERSHIP MEMBERSHIP APPLICATION AND AGREEMENT INSTRUCTIONS

Top Shot Membership INDIVIDUAL & FAMILY MEMBERSHIP MEMBERSHIP APPLICATION AND AGREEMENT INSTRUCTIONS Top Shot Membership MEMBERSHIP APPLICATION AND AGREEMENT INSTRUCTIONS The Membership Application package consists of the following pages: Membership Application and Agreement (1 page) ( Application ) Terms

More information

BUSINESSMAX MEMBERSHIP APPLICATION

BUSINESSMAX MEMBERSHIP APPLICATION One Leo Fraser Dr., Northfield, NJ 08225 ottingergolf.com Atlantic City CC: 609-236-4400 Ballamor GC: 609-601-6220 Scotland Run GC: 856-863-3737 BUSINESSMAX MEMBERSHIP APPLICATION Company Name: Business

More information

MARYLAND GOLF. and Country Clubs Application for Membership East MacPhail Rd Bel Air Maryland

MARYLAND GOLF. and Country Clubs Application for Membership East MacPhail Rd Bel Air Maryland MARYLAND GOLF and Country Clubs Application for Membership 1335 East MacPhail Rd Bel Air Maryland 21015 410-879-2025 www.marylandgcc.org 1 Category Pricing Current Initiation Fee Monthly Dues Food Minimum

More information

COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP

COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP Established in 1894, Cohasset Golf Club is one of the oldest private clubs in New England. Members enjoy a challenging 18-hole Donald Ross course, practice

More information

MEMBERSHIP CONTRACT GENERAL APPLICATION INFORMATION MONTHLY DUES (PAID IN ADVANCE) $ 15.OO 1. MEMBERSHIP TYPE(S) AND DUES TOTAL DUE TODAY $ START DATE

MEMBERSHIP CONTRACT GENERAL APPLICATION INFORMATION MONTHLY DUES (PAID IN ADVANCE) $ 15.OO 1. MEMBERSHIP TYPE(S) AND DUES TOTAL DUE TODAY $ START DATE GENERAL APPLICATION INFORMATION MEMBERSHIP CONTRACT NAME EMAIL SOCIAL SECURITY NUMBER EMPLOYER OF BIRTH EMERGENCY CONTACT NAME SPOUSE S NAME (IF APPLICABLE) EMERGENCY CONTACT PHONE ADDRESS NAMES ON CONTRACT

More information

Country Club of Culpeper

Country Club of Culpeper Welcome to Country Club of Culpeper 2100 Country Club Road Culpeper, VA 22701 540.825.1746 Jen Sandy, Membership & Events Director Jsandy@countryclubofculpeper.com Country Club of Culpeper CLUB HOUSE Grill

More information

APPLICATION FOR MEMBERSHIP PRIVILEGES

APPLICATION FOR MEMBERSHIP PRIVILEGES The undersigned hereby applies for a membership at Spring Creek Golf Club. If approved, the undersigned requests that his/her name be placed on the Membership Roster as follows. MEMBERSHIP INFORMATION

More information

BY LAWS OLDE STONEWALL GOLF CLUB. Established January 2010

BY LAWS OLDE STONEWALL GOLF CLUB. Established January 2010 BY LAWS OF OLDE STONEWALL GOLF CLUB Established January 2010 TERMS AND CONDITIONS FOR PARTICIPATION IN THE OLDE STONEWALL INDIVIDUAL MEMBERSHIP PROGRAM These Terms and Conditions apply to your participation

More information

Signature of Applicant Date Loan Amount Requested $ Checking Account Number:

Signature of Applicant Date Loan Amount Requested $ Checking Account Number: Notice to married applicants living in Wisconsin. No provision of any marital property agreement, unilateral statement under section 766.59 of the Wisconsin Statutes, or court order under section 766.70

More information

Membership Application & Indemnity Agreement

Membership Application & Indemnity Agreement Massachusetts Retail Merchants Workers Compensation Group, Inc. Membership Application & Indemnity Agreement organized and sponsored by: P.O. Box 859222-9222 / Braintree, MA 02185 / 781-843-0005 / 800-790-8877

More information

1. PERSONALIZED PRIMARY CARE Benefits and Services. The Program provides the following amenities ( Amenities ) to persons who sign up as Members:

1. PERSONALIZED PRIMARY CARE Benefits and Services. The Program provides the following amenities ( Amenities ) to persons who sign up as Members: MEMBERSHIP AGREEMENT This Membership Agreement (the Agreement ) specifies the terms and conditions under which you, the undersigned member ( Member ), will be enrolled with PERSONALIZED PRIMARY CARE program

More information

BUSINESS REWARDS CREDIT CARD AGREEMENT (TO BE USED FOR CORPORATIONS, PARTNERSHIPS, LLCs, SERVICE ORGANIZATIONS OR OTHER BUSINESSES)

BUSINESS REWARDS CREDIT CARD AGREEMENT (TO BE USED FOR CORPORATIONS, PARTNERSHIPS, LLCs, SERVICE ORGANIZATIONS OR OTHER BUSINESSES) BUSINESS REWARDS CREDIT CARD AGREEMENT (TO BE USED FOR CORPORATIONS, PARTNERSHIPS, LLCs, SERVICE ORGANIZATIONS OR OTHER BUSINESSES) This AGREEMENT made and entered into this day of, 20, by and between

More information

MEMBERSHIP AGREEMENT AND APPLICATION

MEMBERSHIP AGREEMENT AND APPLICATION MEMBERSHIP AGREEMENT AND APPLICATION d: August 1, 2016 MEMBERSHIP AGREEMENT Applicant s Name: Member Number: Categories of Membership Founder Membership (Closed as of 12/12/12) Sports and Social Membership

More information

Visionary Preview Program

Visionary Preview Program Visionary Preview Program The Basics Extend an invitation Thank You Rewards Current members are encouraged to be ambassadors of Hillcrest and promote our club. The incentive is for these members to receive

More information

An Exclusive Recreational Membership

An Exclusive Recreational Membership An Exclusive Recreational Membership LOCATION: 20 Elm Street (Route 62) North Reading, MA 01864 GENERAL OFFICES: Mail all correspondence to 149 S. Main Street Middleton, MA 01949 978-646-1111 Option 2,

More information

All membership types will be charged a one time administration processing fee of $150 for canceling your current account.

All membership types will be charged a one time administration processing fee of $150 for canceling your current account. Terms and conditions for Month to Month I, ( Member ), authorize my bank or financial institution to make my CrossFit Outbreak monthly payments by the method above, and post it to my account. I authorize

More information

Pool/Tennis Membership Family Pool/Tennis Only ($600) Single Pool/Tennis Only ($300) Range Plan, Bag Storage, and Trail Fee

Pool/Tennis Membership Family Pool/Tennis Only ($600) Single Pool/Tennis Only ($300) Range Plan, Bag Storage, and Trail Fee Full Access Membership - (Includes Golf, Pool and Tennis) Family ($2100/yr or $183.34/mo for 12 mo.) Single ($1800/yr or $158.34/mo for 12 mo.) Active Duty/Retired Military Family ($1900/yr or $166.67/mo

More information

THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP. Member Initial

THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP. Member Initial THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP I. INFORMATION Please provide the following information for our files and records: PERSONAL Member s Name: Email Address: Birthdate:

More information

Bank of Nevis VISA GOLD OR CLASSIC CARD APPLICATION CUSTOMER CARD INFORMATION MIDDLE NAME : SURNAME :

Bank of Nevis VISA GOLD OR CLASSIC CARD APPLICATION CUSTOMER CARD INFORMATION MIDDLE NAME : SURNAME : Bank of Nevis VISA GOLD OR CLASSIC CARD APPLICATION CUSTOMER CARD INFORMATION NEW CHANGE 1. PRINCIPAL APPLICANT (TELL US ABOUT YOURSELF) FIRST NAME: Mr. Mrs. Ms. MIDDLE NAME : SURNAME : MAILING ADDRESS

More information

Membership Application

Membership Application Membership Application Founder Active Associate Racquet Riding Boarding Member Riding Member (no horse) Lesson Program Name of Applicant: Date: Home Address: City: State: Zip: Billing Address (if different

More information

DESERT MOUNTAIN CLUB, INC. MEMBERSHIP PROGRAM OVERVIEW (As of February 6, 2019)

DESERT MOUNTAIN CLUB, INC. MEMBERSHIP PROGRAM OVERVIEW (As of February 6, 2019) DESERT MOUNTAIN CLUB, INC. MEMBERSHIP PROGRAM OVERVIEW (As of February 6, 2019) Page 1 of 13 Table of Contents Introduction... 3 Immediate Family... 3 Equity Golf Membership Summary... 4 Equity Golf Membership-Junior

More information

Old Marsh Country Club Application and Agreement for Membership

Old Marsh Country Club Application and Agreement for Membership Old Marsh Country Club Application and Agreement for Membership Old Marsh Country Club Membership Pricing A Semi-Private Club in the Maine Tradition CATEGORY INITIATION FEE ANNUAL DUES INDIVIDUAL $3,000.00

More information

Massachusetts Retail Merchants

Massachusetts Retail Merchants Massachusetts Retail Merchants Workers Compensation Group, Inc. Membership Application & Indemnity Agreement organized and sponsored by: P.O. Box 859222-9222 / Braintree, MA 02185 / 781-843-0005 / 800-790-8877

More information

2016 MEMBERSHIP AGREEMENT CARLTON LANDING BOAT CLUB

2016 MEMBERSHIP AGREEMENT CARLTON LANDING BOAT CLUB 2016 MEMBERSHIP AGREEMENT CARLTON LANDING BOAT CLUB THIS AGREEMENT (the Agreement ) is made between Carlton Landing Boat Club LLC (the Boat Club ), and (the Member ), who hereby agree to the following:

More information

Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship:

Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Member Information Applicants Name: Co-Applicants Name: Membership Application Please read and complete thoroughly all fields and pages of the application. Incomplete applications will be returned to the

More information

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For: MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00

More information

Walter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio

Walter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio Annual Membership Packages for the Walter F. Ehrnfelt Recreation Center 18100 Royalton Road, Strongsville, Ohio 44136 440.580.3260 www.strongsville.org Fees effective as of October 1, 2014 You now have

More information

Team National, Inc W. State Rd. 84, Davie, FL Phone: (800) , (954) ; Fax: (954) MEMBERSHIP AGREEMENT

Team National, Inc W. State Rd. 84, Davie, FL Phone: (800) , (954) ; Fax: (954) MEMBERSHIP AGREEMENT *711* Phone: (800)-227-6030, (954) 584-2151; Fax: (954) 584-5996 MEMBERSHIP AGREEMENT I hereby choose to purchase (select only one payment option): A Full Payment of $2,195.00 for a PREMIUM/BUSINESS MEMBERSHIP

More information

ISOLA BELLA ESTATES HOMEOWNER ASSOCIATION, INC.

ISOLA BELLA ESTATES HOMEOWNER ASSOCIATION, INC. ISOLA BELLA ESTATES HOMEOWNER ASSOCIATION, INC. RECREATIONAL FACILITIES RENTAL AGREEMENT This Rental Agreement (Agreement) is entered into this day of, 20 between Isola Bella Estates Homeowner Association,

More information

Youth & Government REGISTRATION FORM

Youth & Government REGISTRATION FORM Youth & Government REGISTRATION FORM CHOOSE 1 of 2 PAYMENT OPTIONS 1. Enclosed is my check* or credit information to pay in full: Facility Members - $1,250 Program Members** - $1,450 * If using a checking

More information

2019 MEMBER APPLICATION PACKAGE

2019 MEMBER APPLICATION PACKAGE 2019 MEMBER APPLICATION PACKAGE SPECIAL OFFERS * MEMBER APPRECIATION DISCOUNT * Prior Year Members in Good Standing will Receive 5% Off All Selected Tailored Programs Discount Expires on February 28, 2019

More information

01/09/04 Page 1 of 1 FRIPP ISLAND CLUB BY-LAWS CONTENTS PAGE FOREWORD DEFINITION OF TERMS FRIPP ISLAND CLUB BY-LAWS.

01/09/04 Page 1 of 1 FRIPP ISLAND CLUB BY-LAWS CONTENTS PAGE FOREWORD DEFINITION OF TERMS FRIPP ISLAND CLUB BY-LAWS. 01/09/04 Page 1 of 1 FRIPP ISLAND CLUB BY-LAWS CONTENTS PAGE FOREWORD DEFINITION OF TERMS FRIPP ISLAND CLUB BY-LAWS ARTICLE 1. ARTICLE II. ARTICLE III. Section 1 Section 2 Section 3 Section 4 Section 5

More information

Mansions West Resale Application Check List

Mansions West Resale Application Check List Mansions West Resale Application Check List Date of Application: Closing Date: Property Agent Phone Number: Check List Needed for Resale Master Association Check - $200.00 Made payable to "Evergrene Master

More information

additional $785 additional $390 additional $195

additional $785 additional $390 additional $195 ADDITIONAL PRIVILEGES Also available to our Members are facility rentals, access to most JCCs nationwide, member-only publications, priority registration, membership discount on programs and so much more!

More information

STARTUPCO LLC MEMBERSHIP INTEREST SUBSCRIPTION AGREEMENT

STARTUPCO LLC MEMBERSHIP INTEREST SUBSCRIPTION AGREEMENT STARTUPCO LLC MEMBERSHIP INTEREST SUBSCRIPTION AGREEMENT This MEMBERSHIP INTEREST SUBSCRIPTION AGREEMENT (the "Agreement") is entered into by and between STARTUPCO LLC, a limited liability company (the

More information

APPLICATION CHECKLIST

APPLICATION CHECKLIST APPLICATION CHECKLIST 308 W. Parkwood, Ste 108-A Friendswood, Texas 77546 Ph: 281-482-5200 Fax: 281-482-1682 Toll free: 1-855-LOAN212 Loans@loans212.com The Following Items MUST be submitted in order to

More information

CUSTOMER CREDIT APPLICATION

CUSTOMER CREDIT APPLICATION CREDIT LIMIT REQUEST: $ CUSTOMER CREDIT APPLICATION Date: Customer warrants that the following information is accurate and complete: (Attach additional sheets as needed) Name of Customer (Legal Name) Trade

More information

Home Address Please do not provide a P.O. Box. We can only process your application with your residential address. City State Postal Code Country

Home Address Please do not provide a P.O. Box. We can only process your application with your residential address. City State Postal Code Country Florida Bank VISA PLATINUM CREDIT CARD APPLICATION PERSONAL INFORMATION* I accept the annual fee of US$75 for Visa Platinum and US$50 for each additional card. Title (optional) Mr. Mrs. Ms. First, Middle,

More information

Application for Membership

Application for Membership Application for Membership The undersigned hereby applies for membership in THE HOUSTONIAN CLUB (the Club ), owned and operated by Houstonian Campus, LLC ( Owner ). Prior to acceptance for membership,

More information

*** To protect your personnel information we ask that you NOT these documents ***

*** To protect your personnel information we ask that you NOT  these documents *** Dear Prospective Member: Congratulations on your decision to join the! We are excited to have you as a new member. Our goal is to make flying as safe, fun, and affordable as possible for you to meet your

More information

Luxury Jewelry Class CREDIT CARD

Luxury Jewelry Class CREDIT CARD EXCLUSIVE CARDHOLDER BENEFITS * : EXCEPTIONAL FINANCING OFFERS BUY NOW, PAY OVER TIME ONLINE ACCOUNT MANAGEMENT Luxury Jewelry Class CREDIT CARD LUXURY JE WELRY CLASS *SUBJECT TO CREDIT APPROVAL APPLY

More information

SignatureMD Concierge Services Terms and Conditions (May 19, 2010)

SignatureMD Concierge Services Terms and Conditions (May 19, 2010) SignatureMD Concierge Services Terms and Conditions (May 19, 2010) These SignatureMD Concierge Services Patient Membership Terms and Conditions ( Terms & Conditions ) set forth the terms and conditions

More information

Upgrade My Credit Client Agreement

Upgrade My Credit Client Agreement Upgrade My Credit Client Agreement 901 W. Bardin Rd. Suite 306 Arlington, Texas 76017 817-886-0302 off. 817-887-0816 fax www.upgrademycredit.com APPLICANT INFORMATION Mr. Mrs. Ms. PLEASE PRINT CLEARLY

More information

PEO Insurance Brokers Network looks forward to doing business with your agency and beginning a great working relationship.

PEO Insurance Brokers Network looks forward to doing business with your agency and beginning a great working relationship. Dear Referral Partner: PEO Insurance Brokers Network looks forward to doing business with your agency and beginning a great working relationship. CHECKLIST Legible copy of your current broker s license

More information

Emirates NBD Infinite Islamic Charge Card Terms and Conditions

Emirates NBD Infinite Islamic Charge Card Terms and Conditions PERSONAL BANKING Credit Cards Emirates NBD Infinite Islamic Charge Card Terms and Conditions emiratesnbd.com.sa 800 754 7777 All Emirates NBD Islamic Infinite Charge Cards and the related credit facility

More information

MEMBERSHIP AGREEMENT

MEMBERSHIP AGREEMENT MEMBERSHIP AGREEMENT Applicant understands and agrees that the General Terms and Conditions of Membership are a part of this agreement. Enrollment Date: Member Name: Initiation Fees: Club Name: Membership

More information

PARTY REQUEST FORM. If the actual number of guests exceeds the estimated party size, fees will be deducted from the security deposit.

PARTY REQUEST FORM. If the actual number of guests exceeds the estimated party size, fees will be deducted from the security deposit. PARTY REQUEST FORM Harbor Beach Surf Club (hereinafter HBSC ) is a non-profit organization with the primary purpose of providing its members a private and tranquil beach experience. Although, the leasing

More information

2018 Renewing Resident Application. Rye Golf Club 330 Boston Post Road ~ Rye, NY ~ ~

2018 Renewing Resident Application. Rye Golf Club 330 Boston Post Road ~ Rye, NY ~ ~ 2018 Renewing Resident Application Rye Golf Club 330 Boston Post Road ~ Rye, NY 10580 ~ 914-835-3200 ~ www.ryegolfclub.com RYE GOLF CLUB APPLICATION PROCESS FOR NEW AND RENEWING RESIDENT MEMBERS RESIDENCY

More information

Mansions East Resale Application Check List

Mansions East Resale Application Check List Mansions East Resale Application Check List Date of Application: Closing Date: Property Agent Name: Phone Number: Check List Needed for Resale Master Association Check - $200.00 Made payable to "Evergrene

More information

New Member Application

New Member Application New Member Application Thank you for your application for membership in the (ESC) New member applications will be accepted beginning April 1, 2016 and continue until the Board of Directors determines that

More information

GUARDIAN POOLED TRUST JOINDER AGREEMENT

GUARDIAN POOLED TRUST JOINDER AGREEMENT Trust sub-account number: Acceptance Date: These Blanks to be Completed by the Trustee version 3.3 GUARDIAN POOLED TRUST JOINDER AGREEMENT This is a legal document. You are encouraged to seek independent,

More information

Waiver, Release of Liability, Indemnification and Consent to Medical Attention

Waiver, Release of Liability, Indemnification and Consent to Medical Attention Waiver, Release of Liability, Indemnification and Consent to Medical Attention 1. Voluntary Participation. I understand and confirm that my participation in the Program is voluntary. 2. Identification

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

Membership Application Form

Membership Application Form Membership Application Form Silver Willow in this document means Silver Willow Pheasant Farm LTD. Don Day, Gwen Day and Josh Day NOTES FOR APPLICANTS Please read this form carefully especially the declaration

More information

INFORMATION FOR BID. Tee Shirts (School Nutrition)

INFORMATION FOR BID. Tee Shirts (School Nutrition) BIBB COUNTY SCHOOL DISTRICT Procurement Services 4580 CAVALIER DRIVE Macon Georgia 31211 INFORMATION FOR BID For Tee Shirts (School Nutrition) April 14, 2016 IFB Number: 16-34 Due Date: 04/20/2016 Time

More information

Membership Application For

Membership Application For Membership Application For Silver Willow in this document means Silver Willow Pheasant Farm LTD. Don Day, Gwen Day and Josh Day NOTES FOR APPLICANTS Please read this form carefully especially the declaration

More information

JOINT ACCOUNT. Last Name: First Name: Initial: Date of Birth: Street Address: City, State, Zip: County:

JOINT ACCOUNT. Last Name: First Name: Initial: Date of Birth: Street Address: City, State, Zip: County: CREDIT APPLICATION Location submitting application: MFA OIL COMPANY MFA PETROLEUM COMPANY One Ray Young Drive Columbia, MO 65201 INDIVIDUAL ACCOUNT Complete Parts 1, 4 and 5 if you are applying for an

More information

COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS NEW CUSTOMER

COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS NEW CUSTOMER COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS NEW CUSTOMER COMPANY INFORMATION AND CONTACT DETAILS Legal Name of Company ( Applicant ): Telephone: Fax: Credit Limit Desired: DBA, if applicable: Accounts

More information

PREPAID REWARD CARD PURCHASER TERMS AND CONDITIONS JUNE 2013

PREPAID REWARD CARD PURCHASER TERMS AND CONDITIONS JUNE 2013 PREPAID REWARD CARD PURCHASER TERMS AND CONDITIONS JUNE 2013 These Terms and Conditions ("Terms and Conditions") set forth the terms and conditions for a Purchaser ( you, your or Purchaser ) to purchase

More information

SPCA TAMPA BAY POOLED PET TRUST TRUST JOINDER AGREEMENT

SPCA TAMPA BAY POOLED PET TRUST TRUST JOINDER AGREEMENT Trust sub-account number: Acceptance Date: SPCA TAMPA BAY POOLED PET TRUST TRUST JOINDER AGREEMENT This is a legal document. You are encouraged to seek independent, professional advice before signing this

More information

EMPLOYMENT AGREEMENT

EMPLOYMENT AGREEMENT EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (hereinafter referred to as Agreement ), is by and between the City of Cocoa Beach, Florida, a subdivision of the State of Florida (hereinafter referred to

More information

FIXTURING/INSTALLATION AGREEMENT

FIXTURING/INSTALLATION AGREEMENT Dept Index Contract No. Requisition No. FIXTURING/INSTALLATION AGREEMENT This FIXTURING/INSTALLATION AGREEMENT by and between THE UNIVERSITY OF NORTH FLORIDA BOARD OF TRUSTEES, a public body corporate

More information

Bainbridge Island Rowing Boat Storage Agreement

Bainbridge Island Rowing Boat Storage Agreement Bainbridge Island Rowing Boat Storage Agreement Last Revised March 2018 Instructions for securing and paying for a boat rack 1. Contact Chrys Hansen, BIR Rack Manager at: a. rackmanager@bainbridgerowing.org.

More information

The Chevra Gemach For the members, by the members

The Chevra Gemach For the members, by the members Loan Guidelines The Chevra Gemach For the members, by the members info@thechevragemach.org Application Date: / / Other Then Signatures, This Application MUST Be Typed Please sign by each of the guidelines

More information

In addition to outstanding facilities, membership in the Club offers a number of attractive benefits, including:

In addition to outstanding facilities, membership in the Club offers a number of attractive benefits, including: T H E T U C K E R ' S P O I N T G O L F, B E A C H & T E N N I S C L U B M E M B E R S H I P P L A N M E M B E R S H I P O P P O R T U N I T Y M E M B E R S H I P P L A N O V E R V I E W This Membership

More information

Membership Application & Indemnity Agreement

Membership Application & Indemnity Agreement Massachusetts Care Self-Insurance Group, Inc. Workers Compensation Membership Application & Indemnity Agreement P.O. Box 859222-9222 / Braintree, MA 02185 / 781-843-0005 / 800-790-8877 v 6-2015 Massachusetts

More information

ACCOUNT NUMBER SOCIAL SECURITY NUMBER ACCOUNT NUMBER SOCIAL SECURITY NUMBER

ACCOUNT NUMBER SOCIAL SECURITY NUMBER ACCOUNT NUMBER SOCIAL SECURITY NUMBER Credit Card Application A table that includes required credit card disclosures is provided with this Application. To obtain any change in the required information since it was printed, write to us at the

More information

Ü First Name(s) Middle Name Last Name Citizenship. Ü Mailing Address City Province Postal Code

Ü First Name(s) Middle Name Last Name Citizenship. Ü Mailing Address City Province Postal Code Schedule B Application for a Self-Directed Retirement Savings Plan (RSP) Canadian ShareOwner Investments Inc. ( the Firm ) Trustee: The Canada Trust Company Account # (to be assigned by the Firm) Transfers:

More information

Playing Membership Application

Playing Membership Application Prior TG&CC membership number, if any: Date membership ended: New membership number if accepted: Date membership began: 10532 Golf Link Road, Turlock, CA 95380 Telephone (209) 634-5471 Playing Membership

More information

BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH

BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH YMCA Mission: To put Christian principles into practice through programs that build healthy spirit, mind, and body for all. Because

More information

COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS

COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS Coen Oil Company, Inc. (including Coen Zappi Oil Company) 1045 West Chestnut Street Washington, PA 15301 724-223-5500 Fax: 724-223-5501 www.coenoil.com COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS

More information

Participant Loan Agreement

Participant Loan Agreement Participant Loan Agreement General Purpose Loan The plan sponsor or plan administrator (Plan Administrator) of your qualified retirement plan has selected the Access Control Advantage R Loan Program (ACA

More information

Adoption Agreement Template

Adoption Agreement Template Adoption Agreement Template For [ABC Company] Flexible Benefits Plan [Ending June 30, 2008] The undersigned Employer, by executing this Adoption Agreement, elects to establish a Premium Reimbursement Plan

More information

Promissory Note Set-Up Form

Promissory Note Set-Up Form Promissory Note Set-Up Form The information contained in this Form is needed to set up your promissory note on our servicing system or that of the servicer listed below. The full completion of this Form

More information

LAKEWOOD CREEK HOMEOWNERS ASSOCIATION CLUBHOUSE RENTAL AGREEMENT

LAKEWOOD CREEK HOMEOWNERS ASSOCIATION CLUBHOUSE RENTAL AGREEMENT LAKEWOOD CREEK HOMEOWNERS ASSOCIATION SECURITY DEPOSIT: Rental contract and a security deposit of Three Hundred Dollars ($300) ( Deposit ) are required to confirm Clubhouse reservations and must be received

More information

ORDINARY / TERM MEMBERSHIP APPLICATION FORM

ORDINARY / TERM MEMBERSHIP APPLICATION FORM ORDINARY / TERM MEMBERSHIP APPLICATION FORM Serangoon Gardens Country Club 22 Kensington Park Road Singapore 557271 Tel: 6286 8888 Fax: 6398 5336 Email: membership@sgcc.com.sg Website: www.sgcc.com.sg

More information

Dated 2/26/2018. Aspen Racquet Club, LLC ( ARC ) Membership Agreement and Rules and Regulations

Dated 2/26/2018. Aspen Racquet Club, LLC ( ARC ) Membership Agreement and Rules and Regulations Dated 2/26/2018 Aspen Racquet Club, LLC ( ARC ) Membership Agreement and Rules and Regulations This Membership Agreement (this Agreement or contract ) is between you (individually, if you are the Member,

More information

State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 1511 Pontiac Avenue Cranston, RI 02920

State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 1511 Pontiac Avenue Cranston, RI 02920 State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 1511 Pontiac Avenue Cranston, RI 02920 INSURANCE REGULATION 33 WORKERS' COMPENSATION GROUP SELF-INSURANCE

More information

InnoWorks 2017 Student Application Information and Instructions

InnoWorks 2017 Student Application Information and Instructions InnoWorks 2017 Student Application Information and Instructions Welcome to the 2017 InnoWorks Workshop Student Application! Since 2003, InnoWorks has successfully conducted 50+ summer workshops, serving

More information

ADULT COACHING APPLICATION

ADULT COACHING APPLICATION - MIAMI ROWING & WATERSPORTS CENTER, Inc. ADULT COACHING APPLICATION -MEMBER HRLY Private lessons where non-members and members can come and row in a one-on-one session tailored to your skill level and

More information

STG Indemnity Agreement

STG Indemnity Agreement STG Indemnity Agreement INDEMNITY AGREEMENT 1 This indemnification is made and given by: referred to herein as "Indemnitor" (whether one or more) for the benefit of Stewart Title Guaranty Company and (individually

More information

Helfaer Field Rental Agreement Instructions

Helfaer Field Rental Agreement Instructions Helfaer Field Rental Agreement Instructions The Helfaer Field Rental Agreement must have all information filled out. After filling out the necessary information, please print out the form, sign it, and

More information

PURCHASE OPTION and SHARED APPRECIATION AGREEMENT

PURCHASE OPTION and SHARED APPRECIATION AGREEMENT [TOP 3 INCHES ABOVE THIS LINE RESERVED FOR RECORDING DATA] PURCHASE OPTION and SHARED APPRECIATION AGREEMENT THIS PURCHASE OPTION AND SHARED APPRECIATION AGREEMENT (this Agreement ) is made and entered

More information

WHOLESALE BROKER/CONTRACTOR AGREEMENT

WHOLESALE BROKER/CONTRACTOR AGREEMENT WHOLESALE BROKER/CONTRACTOR AGREEMENT THIS WHOLESALE BROKER/CONTRACTOR AGREEMENT is entered into as of by and between Bondcorp Realty Services, Inc. ("Lender"), and, A CORPORATION ( Broker/Contractor ),

More information

Subscription Agreement 3W Fire and Equipment, Inc. (hereinafter Purchaser or Undersigned )

Subscription Agreement 3W Fire and Equipment, Inc. (hereinafter Purchaser or Undersigned ) Subscription Agreement 3W Fire and Equipment, Inc. To: (hereinafter Purchaser or Undersigned ) 1. Recitals. 1.1. The undersigned hereby applies to become an owner of shares of Common Stock (hereinafter

More information

16.99%, 18.99% or 23.99%, based on your creditworthiness.

16.99%, 18.99% or 23.99%, based on your creditworthiness. TD Ameritrade Client Rewards Important Credit Card Terms and Conditions Rates, fees, and other important costs of the TD Ameritrade Client Rewards Credit Card are disclosed below. Additional fees and account

More information

2019 Renewing Non - Resident Application

2019 Renewing Non - Resident Application 2019 Renewing Non - Resident Application Rye Golf Club 330 Boston Post Road ~ Rye, NY 10580 ~ 914-835-3200 ~ www.ryegolfclub.com RYE GOLF CLUB APPLICATION PROCESS FOR RENEWING NON RESIDENT MEMBERS RESIDENCY

More information

FURNISH 123 Card Benefits*

FURNISH 123 Card Benefits* FURNISH 123 Card Benefits* Special Financing Offers Revolving Line of Credit with Monthly Payments Your Room. Your Style. Your Card. Apply Now. Important Information About Your Account Online Account Management

More information