Online Membership Application

Clubhouse

APPLICANT INFORMATION

Date of Application
Membership Type

PRIMARY APPLICANT INFORMATION

First Name Middle Initial
Last Name
Residence Street Address
City
State
Zip
How long have you resided at present address?
Email Address (for Communications including Statements)
Cell Phone Number

Cell Phone Carrier (to receive text messages)

OCCUPATION

Name of Firm. Corporation or Company
Nature of Business / Profession
Position / Job Title
Length of time at company?
Business Street Address
Business Phone Number
Business Email Address (if different from above)
 

STATEMENT DELIVERY METHOD

 MAIL      EMAIL

If you selected MAIL, which mailing address do you prefer?
 RESIDENCE     BUSINESS 

SPOUSE / SPOUSE EQUIVALENT INFORMATION

First Name Middle Initial
Last Name
Email Address (for Communications including Statements)
Cell Phone Number

Cell Phone Carrier (to receive text messages)

OCCUPATION

Name of Firm. Corporation or Company
Nature of Business / Profession
Position / Job Title
Length of time at company?
Business Street Address
Business Phone Number
Business Email Address (if different from above)
 

FAMILY INFORMATION

Name of Children & Birthdates
Quick Family Bio for Member Posting

ADDITIONAL INFORMATION

Name of Primary Banking Institution
Banking Institution Address
Are you related to a current Member?
 Yes    No
If YES, name of current member and relationship?

PLEASE CHECK ALL ACTIVITIES YOU WOULD LIKE TO HEAR ABOUT VIA EMAIL UPDATES

 
PRIMARY APPLICANT
 DINING SPECIALS JUNIOR GOLF
 SOCIAL EVENTS POOL INFO
 WOMEN'S SOCIAL EVENTS SWIM PROGRAM
 WOMEN'S GOLF EVENTS 
 WOMEN'S PADDLE TENNIS 
 MEN'S GOLF EVENTS 
 MEN'S PADDLE TENNIS 
 
SPOUSE / SPOUSE EQUIVALENT
 DINING SPECIALS JUNIOR GOLF
 SOCIAL EVENTS POOL INFO
 WOMEN'S SOCIAL EVENTS SWIM PROGRAM
 WOMEN'S GOLF EVENTS 
 WOMEN'S PADDLE TENNIS 
 MEN'S GOLF EVENTS 
 MEN'S PADDLE TENNIS 
MEMBERSHIPS: PLEASE LIST ANY CLUBS OF WHICH YOU ARE A CURRENT MEMBER (Please Include City and state)
MEMBERSHIPS: PLEASE LIST ANY CLUBS OF WHICH YOU ARE A FORMER MEMBER (Please Include City and state)

HAVE YOU EVER BEEN REJECTED, EXPELLED OR DROPPED FROM MEMBERSHIP OF ANY CLUB? (If YES. please list the Club Nome and state the reason)

SPONSORS INFORMATION

ENDORSEMENT: A Primary Member Sponsor is required. It must be a current Maketewah Member in good standing.
Primary Sponsor Name (first and last)
How many years have you known member?
Secondary Sponsor Name (first and last)
How many years have you known member?

ACKNOWLEDGEMENT & SIGNATURE

Dues ore invoiced and payable monthly in advance and must be paid by the 20th of the month. By the signing of this application, on applicant, if accepted into membership, agrees that in case of termination of his/her membership, unless such termination is caused by death, he/she shall be obligated to pay o minimum of one year's dues and balance of initiation fee, if applicable. Member also agrees, for self and family, to observe the Rules and Regulations of the Club, either as they ore now in force, or as they may hereafter be adopted by the Boord of Directors.  Pre-notification: Public low 91-508 requires that we furnish you this notice because we ore processing your application for membership at Maketewoh Country Club.  A routine inquiry may be mode as to your eligibility for membership, including information as to character and general reputation.  Additional information as to the nature and scope of this inquiry, if made, is available to you upon written request. 
Applicant Signature (type name below)
Date