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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
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| 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
$______________
Amount Received
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Signature of Membership Representative
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