APPLICATION FOR MEMBERSHIP PRIVILEGES

Similar documents
Membership Application

Country Club of Culpeper Application for Membership PERSONAL

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

Membership Application

Country Club of Culpeper

APPLICATION FOR MEMBERSHIP

Visionary Preview Program

SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT

2018 MEMBERSHIP OPTIONS

BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP

2019 Renewing Non - Resident Application

BUSINESSMAX MEMBERSHIP APPLICATION

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

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

MEMBERSHIP APPLICATION FORM

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

Corporate/Business Application for Membership

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

additional $785 additional $390 additional $195

An Exclusive Recreational Membership

CRG PATIENT REGISTRATION FORM

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

CRG PATIENT REGISTRATION FORM

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

2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT

COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP

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

PLEASE RETAIN THIS PAGE FOR YOUR RECORDS

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

TRUCKING & CONSTRUCTION DIVISIONS

Clinical Practitioner Consultant Application

Koy Concrete, Ltd. P.O.Box 308 Sealy, TX Fax

Dental Insurance: Primary Carrier: Employee #: Insured s SSN #: Insured Birth date: Group #: Phone #: Insurance Company Address: City: State: Zip:

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

Application for Medicare Supplement Insurance Plan

BECK EQUIPMENT, INC Preble Rd, Preble, NY Toll Free: (866) / Fax: (607)

Run of Our Range Full Membership Plan This Membership Plan Requires a 12 Month Contract Paid Monthly or Prepaid in Full

2018 ADULT VOLUNTEER APPLICATION

Consultant Application

Vipers Hockey Club Fall Payment Form /Automatic Payment Options

MEMBERSHIP. Summer Membership. Summer Membership

ARIZONA PODIATRIC MEDICAL ASSOCIATION

Superannuation Application Form

LIFE AND P&C AGENCY COST AND OPTIONS

APPLICATION FOR PENSION

RENTAL APPLICATION. Total number of occupants to live in apartment: Adults Children Do you have a pet? Yes No If yes, describe:

Prisma - Employment Application

MEMBERSHIP TRANSFER APPLICATION

2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT

BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH

CONVERSION OF GROUP LIFE INSURANCE TO AN INDIVIDUAL POLICY

DRIVER S EMPLOYMENT APPLICATION

Position(s) Applied for. Name Social Security No Last First Middle. How Long. How Long. How Long

1804 NW Martin Road ~ Forest Grove, OR ~ Phone: (503) ~~ Fax: (503) or

MEMBERSHIP APPLICATION WE RE A CAUSE WE RE MORE THAN A GYM. YMCA of Broome County

DEPOSITS ACCOUNT NO.: SINGLE MEMBERSHIP APPLICATION FORM Regular Account CARES Teen / Youth Account

FLYERS AFTER SCHOOL PROGRAM APPLICATION FOR CHILD. Childs Information. Date of Application: Child s Name (first & last name)

County: State: ZIP: Address: Billing Address for Premium Notices (complete only if different from above).

WINCHESTER HOMEOWNERS ASSOCIATION, INC. Special Outside Pool and Tennis Membership Request

Welcome Home! Valid state issued photo identification and a social security card.

MEMBERSHIP AGREEMENT AND APPLICATION

SUMMARY. February 9, 2012

Heartland Cooperative Services Job Application. Name: Last First Middle. Address Street. City State Zip Code Phone. Position Applied For

2018 EMPLOYMENT APPLICATION

Type of Membership. Member Name. Home Address. Phone_( ) Date of Birth / / Fax _( ) Social Security No. - - Company Name. Address. Phone_( ) Position

The Center for ADHD, Inc.

RETIREMENT LIVING APPLICATION

2019 Membership Packet

T H E H E A LT H CLU B M E M B E R S H I P

cisi application FORM for bailiwick of guernsey REnewING statements of professional standing (sps)

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM

Truck Driver Application for Employment

M EMBERSHIP A PPLICATION

Applicant Name: Last First Middle. Present Address: Street City State Zip Code. Previous Address: Street City State Zip Code

SECTION 8 ACCOUNT WITHDRAWAL

Pocock Rowing Center

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01)

New Employer Checklist

CONVERSION OF GROUP OR EMPLOYEE LIFE INSURANCE TO AN INDIVIDUAL POLICY. Life Insurance Company of North America

Winter Membership Application October 14, 2017 May 11, 2018

Application for Driver

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY

National Electrical Annuity Plan Disability Benefit Application

BRETTON WOODS CLUB Membership Application

DRIVER S APPLICATION FOR EMPLOYMENT

INVESTMENT ADVISORY FIRM COST AND OPTIONS

Home city Home state Home ZIP. Mailing city Mailing state Mailing ZIP. Month Year

Automatic Payment Option Authorization Form

Frequently Asked Questions for the New Membership Programs

TORINO ENTERPRISES, INC. APPLICATION TO LEASE

Custer County Sheriff s Office

Avella Wholesale, Inc.

APPLICATION REQUIREMENTS Effective December 1, 2017

ORDINARY / TERM MEMBERSHIP APPLICATION FORM

Last Name First M.I. Suffix. Street Address Apt/Unit # City State ZIP County. Address Male Female Date of Birth: Age:

Upgrade My Credit Client Agreement

SIO Supervisor Application Form

Independent Associate Application and Agreement

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

DENTAL PROVIDER APPLICATION

Transcription:

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 Mr. Mrs. Ms. Miss. Dr. Name of Applicant/Primary Member (PLEASE PRINT) LAST NAME: FIRST NAME MIDDLE INITIAL: City: State Zip Code Date of Birth: OCCUPATION/NATURE OF BUSINESS INFORMATION COMPANY NAME: City: State Zip Code SPOUSE INFORMATION (Applicable for a family membership) Mr. Mrs. Ms. Miss. Dr. LAST NAME: FIRST NAME MIDDLE INITIAL: Date of Birth: REFERRAL INFORMATION Please let us know how you were informed about membership at Spring Creek. Member Referral - Name: Television Advertisement / Radio Advertisement / Print Advertisement / Other - Please specify: LEAGUE & ASSOCIATION INTEREST Select any/all of the leagues and associations you would like to be contacted about: Seniors Association Men only 55 & older Thursday Night Men s League Tournament Committee SCWGA Spring Creek Women s Golf Association Saturday morning Men s Group

The undersigned hereby makes application for a membership at Spring Creek Golf Club in the classification selected below by marking the appropriate box and agrees to pay the required membership deposit and/or membership fee in the manner set forth in the undersigned s Membership agreement. (If applying for a Corporate Golf Membership, skip to the next page) Property Owner Resident Non-Resident Course Associate Property Owner Associate Monthly Dues: Membership Type Individual Family Property Owner Resident Non-Resident Course Associate Property Owner Associate Immediate Family Members (Children, twenty-four and under qualify for a family membership) LAST NAME: FIRST NAME Male / Female LAST NAME: FIRST NAME Male / Female INITIATION FEE INFORMATION The information below details the one-time membership fee to join Spring Creek Golf Club. In order to activate a membership at Spring Creek, an initiation fee is required. Please select from the two (2) payment options: One-time initial payment $2,000.00 Monthly payments* $2,400.00 *Must be paid over the initial 12-month period, unless otherwise discussed with Spring Creek Personnel. POOL/TENNIS MEMBERSHIP Members who obtain a Resident status membership have the option to include membership to the Pool and Tennis Courts, for an additional $50.00 per family. Please indicate your decision below. Additional forms must be filled out prior to receiving access these recreational amenities. Yes No

Payment Information 12 MONTH MEMBERSHIP APPLICATION I understand this is a 1 year contract that will convert automatically to a monthly membership on the first anniversary of this Agreement. I will pay the Monthly Charge listed above during my first year, and thereafter the standard monthly charge until I give two weeks advance written notice of my intent to terminate my membership in accordance with Spring Creek Golf Club rules and regulations. Please select preferred method: PAYMENT METHOD Automatically charge the on file/below credit card monthly Manual Payment (Check, Cash or Credit Card) Spring Creek Golf Club requires all Members to provide the credit card information below. If the preferred method of payment is to automatically charge, each payment will be withdrawn from your account on the 15 th of every month. If the preferred method is to pay manually, and we receive your payment by the end of each month, we will not charge your credit card(s) below. If the preferred method of payment is by check or card monthly, and we do not receive payment within 45 days of the billing date, Card #1 will be charged. Card #1: Expiration Date: Type: Cardholder Signature: Card #2: Expiration Date: Type: Cardholder Signature: If the preferred method of payment is by credit card, Spring Creek Golf Club will charge the provided credit card(s) on a monthly basis for the below Monthly Charge, plus any additional charges made by the primary member or other persons included in the membership. Card #2 below will be used only if Card #1 cannot be processed. If another payment option is desired at any time, please notify the General Manager. In the event the credit card(s) are rejected, returned, or denied by the bank, the current statement amount plus any unamortized annual fee amounts will accelerate and will be payable by the 10 th of the current month. At this time the Member will be suspended from membership until all fees in the contract amount are paid. If not paid, Spring Creek Golf Club will then have the option of turning the account over to a collection agency. The member will be responsible for all expenses, including attorney fees and costs incurred collecting this debt. By signing this application I confirm that I understand and agree to all terms and conditions of the Membership Application and that I will be notified of any increase in the dues rate after my first year of membership. INVOICE DELIVERY Please select preferred method: Please email my monthly statement Please mail to on-file physical address By signing this Application for Membership Privileges, the undersigned represents that the above information is true and correct and hereby authorizes Spring Creek Golf Club and its representatives to conduct such inquiry into the undersigned s qualifications for membership. Member s Signature: Date:

CORPORATE MEMBERSHIP If choosing our Corporate membership, please fill in the information below. This membership requires a minimum of three golfers, and a maximum of six golfers. Company Name: Address: City State Zip Code Please indicate employee information and membership details of those activating a membership under the Company Masters membership:

CORPORATE MEMBERSHIP