Common use of PLEASE READ AND SIGN BELOW Clause in Contracts

PLEASE READ AND SIGN BELOW. The undersigned has read and voluntarily signs the Patron Agreement and further agrees that no oral representations, statements of inducement apart from the foregoing written agreement have been made. Please see Payment Information on options. Signature: Date: NEW MEMBER INFO SHEET PRIMARY PATRON □ Mr. □ Mrs. □ Ms. □ Miss □ Dr. □ Other: First Name: MI: Last Name: Have you previously been an MGC member? □ Y □ N DOB: / / □ Male □ Female □ Prefer not to answer Marital Status: □ Married □ Partnered □ Single □ Prefer not to answer E-Mail Address: Home Address: City: State: ZIP: Home Phone: ( ) - Cell Phone: ( ) - Employer: Occupation: SECONDARY PATRON □ Mr. □ Mrs. □ Ms. □Miss □ Dr. □ Other: First Name: MI: Last Name: Have you previously been an MGC member? □ Y □ N DOB: / / □ Male □ Female □ Prefer not to answer Marital Status: □ Married □ Partnered □ Single □ Prefer not to answer E-Mail Address: Home Address: □ Same as Primary Patron City: State: ZIP: Home Phone: ( ) - Cell Phone: ( ) - Employer: Occupation: CHILDREN First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / EMERGENCY CONTACT Name: Relation to Applicant Home Phone: ( ) - Cell Phone: ( ) -

PLEASE READ AND SIGN BELOW. The undersigned has read and voluntarily signs the Patron Agreement and further agrees that no oral representations, statements of inducement apart from the foregoing written agreement have been made. Please see Payment Information on options. Signature: Date: NEW MEMBER INFO SHEET PRIMARY PATRON □ Mr. □ Mrs. □ Ms. □ Miss □ Dr. □ Other: First Name: MI: Last Name: Have you previously been an MGC member? □ Y □ N DOB: / / □ Male □ Female □ Prefer not to answer Marital Status: □ Married □ Partnered □ Single □ Prefer not to answer E-Mail Address: Home Address: City: State: ZIP: Home Phone: ( ) - Cell Phone: ( ) - Employer: Occupation: SECONDARY PATRON □ Mr. □ Mrs. □ Ms. □Miss □ Dr. □ Other: First Name: MI: Last Name: Have you previously been an MGC member? □ Y □ N DOB: / / □ Male □ Female □ Prefer not to answer Marital Status: □ Married □ Partnered □ Single □ Prefer not to answer E-Mail Address: Home Address: □ Same as Primary Patron City: State: ZIP: Home Phone: ( ) - Cell Phone: ( ) - Employer: Occupation: CHILDREN First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / EMERGENCY CONTACT Name: Relation to Applicant Home Phone: ( ) - Cell Phone: ( ) -