Country Club of Culpeper Application for Membership PERSONAL

Transcription

1 Application for Membership PERSONAL Name Mr. Mrs. Ms. Street Address City State ZipCode Telephone Home: Work: Date of Birth Social Security No. Spouse s Name Mr. Mrs. Ms. Date of Birth Social Security No. Unmarried Dependents under the age of twenty-five living at home or attending school full time: Name Date of Birth Name Date of Birth MEMBERSHIP TYPE Full Equity Athletic Range Individual Full Equity Pool /Social Non-Resident Introductory Golf Weekday MEMBERSHIPS IN OTHER CLUBS, PAST & PRESENT 1. Name of Club Phone Number 2. Name of Club Phone Number

2 BUSINESS Business or Profession Active Retired Title Telephone Address Spouse s Occupation Title Address Telephone MEMBERSHIP SPONSORS Name Signature Address Telephone Name Signature Address Telephone Stock Certificate issued in the name of: Upon signing this Application I hereby authorize The to receive any information for the investigation of my qualifications for membership as they deem appropriate, including without limitation my credit history. I further authorize any person or entity to disclose to the Club all information requested by them. I understand that acceptance for membership in The is subject to approval and payment of the required membership price, dues, fees and stock (if required). A check for the above-mentioned fees required, plus the first month s dues for the category you ve applied for must accompany this application. Please Print Name Please Print Name Applicant Signature Applicant Signature Date Date

3 Membership Application Agreement In making this application, I hereby permit the, Inc. to make any credit inquiries it deems necessary. I accept that my application will be posted for membership review and be subject to review by the Membership Committee and the Board of Directors prior to final acceptance. I declare and agree that I will comply with the current and future Club Constitution, By-Laws, Rules, Regulations and Customs and that I accept full responsibility for such compliance by all members of my family (where applicable) and by my guests. I agree to pay all Club dues, reserve fees, activity fees, daily fees and charges and assessments levied by the Board of Directors according to the payment schedules set forth in the Rules and Regulations. Failure to pay these fees will result in monthly finance charges of 10%, possible suspension of club privileges, and in some circumstances, termination of membership. The member shall be responsible for all reasonable attorneys fees and court costs in the event collection efforts are initiated by the Country Club of Culpeper, Inc. I irrevocably agree that permissive venue shall be in Culpeper County, Virginia. Application must be accompanied by a check for the (a) Initiation Fee and (b) Stock Fee where applicable. The deposit shall not be construed as consideration for acceptance into the club membership until officially approved by the Board of Directors. Your deposit will be returned without interest if membership is denied. I acknowledge and accept that membership in the Club is a privilege and not a right, subject to withdrawal or restriction by the Board of Directors consistent with the Constitution, By-Laws, Rules and Regulations, and agree to accept any final decision by said Board in such regard. Applicant Co- Applicant Date Club Representative Member Number

4 24-Month Promissory Note Membership Category Date: The undersigned agrees to maintain their membership with The for a minimum of 24 months from the date of first billing. Borrower waives presentment for payment, demand, protest, and notice of non-payment and expressly waives the benefit of the exemptions, homestead or otherwise, which they may have by virtue of the constitution or laws of this or any other state, insofar as the same can be waived. Borrower reserves the right to make full or partial prepayment of all dues monthly dues and fees at any time prior to the end date. In the event this note is placed in the hands of an attorney for collection, or suit is brought on it, or any portion thereof, or if collected by any court proceedings, Borrower shall pay all costs including reasonable attorney s fees for collection. Upon non-payment of any applicable monthly dues and fees, the entire balance shall at once become due and payable at the option of note holder and interest shall accrue on the entire balance from such date at the rate of 10% per month on any open balance. Failure to exercise this option shall not waive the right to exercise it upon any later default. The obligation of this note shall be joint and several if made by more than one. WITNESS our signatures: (Applicant Signature) (Co-Applicant Signature)

5 Pool-Social Membership 12-Month Promissory Note Membership Category: Pool -Social Date: The undersigned agrees to maintain their membership with The for a minimum of 12 months from the date of first billing. Borrower waives presentment for payment, demand, protest, and notice of non-payment and expressly waives the benefit of the exemptions, homestead or otherwise, which they may have by virtue of the constitution or laws of this or any other state, insofar as the same can be waived. Borrower reserves the right to make full or partial prepayment of all dues monthly dues and fees at any time prior to the end date. In the event this note is placed in the hands of an attorney for collection, or suit is brought on it, or any portion thereof, or if collected by any court proceedings, Borrower shall pay all costs including reasonable attorney s fees for collection. Upon non-payment of any applicable monthly dues and fees, the entire balance shall at once become due and payable at the option of note holder and interest shall accrue on the entire balance from such date at the rate of 10% per month on any open balance. Failure to exercise this option shall not waive the right to exercise it upon any later default. The obligation of this note shall be joint and several if made by more than one. WITNESS our signatures: (Applicant Signature) (Co-Applicant Signature)