CORPORATE MEMBERSHIP
Application of:______________________________________ Phone:__________________________________
Address
We hereby make application for membership at Pine Lake Trout Club.
Pine Lake Trout Club Corporate Membership is offered for a minimum of two (2) associates and a maximum of five (5) associates, all of whom must be members of the above corporation.
Associate #1_______________. D.O.B. _____. S.S.#____________.
Associate #2_______________. D.O.B. _____. S.S.#____________.
Associate #3_______________. D.O.B. _____. S.S.#____________.
Associate #4_______________. D.O.B. _____. S.S.#____________.
Associate #5_______________. D.O.B. _____. S.S.#____________.
Sponsoring Member(s)_____________________________________.
1. Mail this application with a check for $1,500 (plus 6.5% sales tax) non-refundable, one time initiation fee.(Currently initiation fee is being waived until June 30, 2012.)
2. Membership cards will be mailed within 10 days of receipt of your application. Billing will be sent monthly for all subsequent charges.
3. Corporate monthly dues are $137 (plus 6.5% sales tax) for the first associate and $132 (plus 6.5% sales tax) for each associate thereafter.
4. The Club requires a $50 (plus 6.5% sales tax) per month food minimum for dining per associate.
5. Use of the club is limited to only those associates listed above.
6. ___ (initials) All charges are due monthly on receipt of your statement. Any delinquent account will be charged a 2% monthly finance charge.
7. Failure to keep account to date, will result in a loss of privileges and possible suspension or cancellation.
8. Change to the membership must be in writing to the Club 30 days prior to the effective date of change.
9. Signature of the application indicates agreement to abide by club rules and regulations on the reverse side.
10. Pine Lake Trout Club accepts American Express, Mastercard or Visa for payment of the initiation fee or settlement of your monthly account.
Signed By __________________________. Date _____________.
Accepted For Pine Lake _______________. Date _____________.
PINE LAKE TROUT CLUB
P.O. Box 23282, Chagrin Falls, Ohio 44023 (440) 543-1331
Web Site pinelaketroutclub.com
