Country Swimming Club, Inc.
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2010 Application for Membership
I herewith submit my application for membership in Country Swimming Club in accordance with its rules and regulations with the understanding that admission to membership is exclusively within the discretion of the Membership Committee. If accepted, I agree to pay the dues applicable at the time I am admitted and to observe the bylaws and other rules from time to time established by the Board of Directors.

 

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Applicant's Name

 

 

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Spouse's Name (if applicable)

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Address

 

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Phone Number

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Email Address

Children's Names and Birth Years

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Mail Application and Check to:
Country Swimming Club Inc.
c/o Mr. Dan Patterson
2603 Turnstone Drive
Wilmington, DE 19808

2010 Membership Fee: Annual Membership Dues $400.
New Member Application Fee: $350. (Which may be paid in 2 installments of $175 over 2 summers.)
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Office Use:

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Date Received

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Amount Received

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Signature of Membership Representative