MEMBERSHIP APPLICATION Membership Applying for: Dining_____ Social_____ Golf_____ Equity_____ Name __________________________________ Date of Birth _________________ Home Address ________________________ E-mail Address___________________ City ______________________________ State ________ Zip Code _____________ Home Phone _______________________ Mobile Phone _______________________ Employer _________________________ Occupation ________________________ Employer Address ____________________________________________________ I am making application for membership in the Freeport Country Club. I have received a copy of the Rules and Bylaws of the Freeport Country Club and understand the provisions pertaining to my membership.
If my application is accepted, I acknowledge that the Membership term is for one continuous year from July 1 to June 30th. Membership annual dues for one year are due and payable in full within thirty days of the acceptance date of this membership. As a courtesy and option, annual dues may be paid on a monthly basis. Any member who joins after July 1 will have a membership year for one full year commencing the date of joining. After the first full year, the term will be adjusted to expire June 30th and the next term will run commencing July 1 through June 30th.
In the event resignation is necessary because of relocation or residence more than 25 miles from Freeport and/or a dire family emergency or hardship, a written request for relief from the obligation to complete payment of the annual dues must be made to the Board of Directors for approval. The written resignation request must be submitted to the office via certified mail.
If elected to membership in the Freeport Country Club, I agree to be bound by the by-laws, rules and regulations of the club, now in effect or hereafter adopted. I agree to pay my monthly bill for dues, all charges and minimum in full within thirty days from statement date. Applicant _______________________________________ Date ____________ Spouse/Significant Other__________________________ Date ____________ SPONSORS: Recognizing our responsibility as members of the Freeport Country Club, we sponsor and recommend this application for membership and vouch for his/her good character and qualifications. Sponsoring Member _____________________________ Member No. ______ Sponsoring Member _____________________________ Member No. ______ ____________________________________________
Membership Committee Chairman Date _______________
____________________________________________
Board President Date________________
PARENTAL DINING BENEFIT APPLICATION DINING PRIVILEGES ONLYName __________________________________ Date of Birth _________________ Home Address ________________________ E-mail Address___________________ City ______________________________ State ________ Zip Code _____________ Home Phone _______________________ Mobile Phone _______________________ Employer _________________________ Occupation ________________________ Employer Address ____________________________________________________ City ______________________________ State ________ Zip Code ____________ Business Phone ___________________ Social Security # _____________________
MAILING PREFERENCE:
______Home Address
______ Business Address Marital Status ___________________ Receive Weekly Club Email? Yes ___ No ___ Spouse / Significant Other’s Information: Name ______________________________ Date of Birth ______________________ E-mail Address ____________________ Receive Weekly Club Email? Yes ___ No ___ Employer ________________________ Occupation __________________________ Employer’s Address______________________ Mobile Phone: __________________ City _____________________________ State ________ Zip Code ______________ Business Phone ___________________ Social Security # _____________________ FREEPORT COUNTRY CLUBAGREEMENT AND ACKNOWLEDGMENT
I am making application for Parental Dining Benefits at the Freeport Country Club. I understand this membership is for the use of the dining facilities only at the Freeport Country Club. This benefit is available to me as long as my child remains a member at the Freeport Country Club. There are no dues or monthly food or beverage minimums associated with this membership. I agree to pay my monthly bill for all charges incurred in full, each month. If payment is not received by the due date, I am aware there is a $25.00 late payment fee and a 15% monthly finance charge assessed to the account which I am liable for. Applicant _______________________________________ Date ____________ Spouse / Significant Other__________________________ Date ____________ SPONSORS: Recognizing our responsibility as members of the Freeport Country Club, we sponsor and recommend this application for membership and vouch for his/her good character and qualifications. Sponsoring Member _____________________________ Member No. ______ Sponsoring Member _____________________________ Member No. ______ _____________________________________
Membership Committee Chairman Date _______________
_____________________________________
Board President Date________________
BILLING OPTIONS Name (Please Print) _______________________ Signature ________________________________ Date___________________ Please choose from the following billing options: _____ Please bill my dues on a monthly basis _____ Please bill my dues on a semi-annual basis
(Billed June 30th and December 31st) _____ Please bill my dues on an annual basis (Billed June 30th)
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