Membership Application

Name of Applicant:	* Required
Spouse:
Children on Membership (Names and Ages):

Please list the name and ages of each person to be listed on the membership.
p.

	Names	Age
1.
2.
3.
4.

Address:
Address:
City:
State:
Zip Code:
Telephone:
E-mail address:	* Required

Type of Membership Desired:

		Select Desired Memberships
Single:	$400 Initiation Fee Plus $160 Dues Per Quarter.

Family:	$600 Initiation Fee Plus $215 Dues Per Quarter.

Junior:	$75 Initiation Fee Plus $45 Dues Per Quarter. (For each additional child onmembership add $15 membership fee and an additional $20 dues per child per quarter.)

Seniors:	$200 Initiation Fee Plus $120 Dues Per Quarter.

Out of Anderson County Residents	For persons living out of Anderson County, the Initiation Fee and Quarterly Dues are Half Price.

Please mail the full initiation fee or a minimum of 1/6 initiation fee.

The balance of the initiati fee may be paid in either 3 or 6 MONTHLY PAYMENTS.

Dues for the Quarter Are Payable At Application. Dues Are Pro-Rated for Mid-Quarter Applications.

Membership will not be considered valid until all fees have been paid.

Submission of this form will be sent to the membership committee.