Membership Application / AgreementMembership Agreement • May 8th, 2017
Contract Type FiledMay 8th, 2017Membership Types Add-on Options Specialty Memberships Agreement Type q Individualq Couple q Tennisq Children q Student/ q Non-PrimeYoung Professional q Other q Junior q Corporateq Senior Code q Month-to-Month(Minimum 3 month commitment)q 12 Month Children on Membership Name Gender Dues DOB M q F q $ / / Payment Summary Initiation Fee $ Prorated Dues for $ Total Collected (Tax Included): $ Total Monthly Membership Dues Rate: $ Other $ Membership Start Date M q F q $ / / M q F q $ / / M q F q $ / / Payment Authorization I hereby request and authorize Athletic Club Northeast to charge my account via Electronic Funds Transfer on a monthly basis beginning / / .The debit will consist of monthly dues plus any other club charges (if applicable) made by myself or other persons included in my membership until the cancellation of my membership is effective in accordance with the resignation policy detailed in the Terms and Conditions on the back of this Agreement. The authorization is extended
Membership AgreementMembership Agreement • May 8th, 2017
Contract Type FiledMay 8th, 2017CLUB APPROVAL: This membership agreement (contract) is subject to the Club’s final approval and acceptance of Member’s application. The club may reject member’s application at its sole discretion for any reasons whatsoever, if this Contract is rejected by the club, the contract shall be null and void and member shall not become a member of the club. If this contract is accepted by the club, member shall be bound by the terms and conditions of a contract.