APPLICATION FOR MEMBERSHIP

HANARRY SWIM & RACQUET CLUB

P.O. BOX 294

LILBURN, GA 30048-0294

 

Name:  ____________________________________________________________________________

 

Last

First

Middle

Spouse:            ____________________________________________________________________________

Dependent’s Name

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

Street Address: ______________________________________________________________________

City, Zip:          ______________________________________________________________________

Subdivision:      ______________________________________________________________________

Phone(s):          ________________________________                    _______________________________

                                    Home                                                               Work

Email(s):           ________________________________

Date:                ________________________________

If referred by an HSRC member, please list:                  ________________________________

How did you find out about Hanarry Swim and Racquet Club?   _______________________________________

_______________________________________________________________________________________

 

I certify the above information is correct and hereby apply for membership in HSCR.

                                                                        ___________________________________________

                                                                        Signature

Costs

Bond Fee:

$400.00

(Refundable when membership is sold based upon yearly dues being current)

Yearly Dues:

$350.00

 

Yearly Work Fee:

$ 50.00

(will be credited to account upon member participation in one of the HSRC scheduled work days)

Please complete application and return, with check payable to HSRC to:

Hanarry Swim and Racquet Club

P.O. BOX 294

Lilburn, Georgia 30048

If you have any questions, please call:

Mark DeArmon, Membership Chair:  770-806-0464

If you would like to drop your application off at someone's house, please call one of the people mentioned above to make arrangements.