MEMBERSHIP APPLICATION & AGREEMENTMembership Application & Agreement • December 21st, 2023 • New York
Membership Number Account Type: Account Ownership: Share/Savings Single-Party Power of Attorney Joint With Right of Survivorship Trust Joint Without Right of Survivorship UTMA CustodialPayable on Death (POD)
Application for Extended MembershipMembership Application Agreement • November 30th, 2022
Golf Fees Receipt No. Affiliation Receipt No. Handicap Card Receipt No. Membership No. Approved by Chairman of the Golfing Section: Date:
Name Date of Birth Address City State Zip Cell Phone Home PhoneMembership Application Agreement • February 1st, 2023
E-mail address Silver Sneakers/Renew Active# Emergency Name/Phone Business Name Business Address Secondary Member/DOB Additional Member/DOB
PORTLAND AMBULANCE EMERGENCY CARE PLANMembership Application/Agreement • March 6th, 2014
Membership Application AgreementMembership Application Agreement • August 13th, 2018
_____ Single adult _____ Adult couple _____ Student 14-18 years + college _____ Senior (62) couple _____ Staff SV _____ Corporate __________________ _____ Senior (62) single _____ Staff KB _____ Family add-on (FAO) _____ SV resident _____ Hickory Homes 1. _____________________ Age _____ _____ KB resident 2. _____________________ Age _____ 3. _____________________ Age _____
Membership Application & AgreementMembership Application & Agreement • June 13th, 2022
Membership Application AgreementMembership Application Agreement • May 3rd, 2019
Thank-you for your interest in the South Delta Artists Guild (SDAG). The SDAG is a member directed, non-profit, self- sustaining volunteer organization dedicated to supporting the appreciation and development of the visual arts. Through volunteer participation, members are able to enjoy many benefits, including drop-in painting sessions, workshops, demos, socializing and networking, as well as hanging their art in Gallery 1710.
ContractMembership Application & Agreement • March 25th, 2013
Membership application agreementMembership Application Agreement • January 22nd, 2016
With the signature below, I, on behalf of my association, hereby certify that the information within the ISCA membership application form is true, accurate and complete to the best of my knowledge.
MEMBERSHIP APPLICATION AGREEMENTMembership Application Agreement • March 29th, 2018 • Ontario
Company information Company name Street number and name Suite no. City Province Postal code Phone Fax Website Corporation legal name (if different from above) Canadian agent name (if applying from outside Canada) Street number and name Suite no. City Province Postal Code Phone Fax Website
Primary Contact Information First Name: M.I.: Last Name: Sex: Mailing Address: City: State: Zip: DoB: Email: Phone # Cell Home Emergency Contact Information Name: Phone Number: Relation to Contact:Membership Application & Agreement • July 4th, 2024
This Membership Application & Agreement, Therapy Pool Waiver Agreement & Sauna & Steam Room Waiver Agreement (collectively referred to as “the Agreement”) is entered into by and between the member/applicant whose information appears on page 1 of this Agreement and Stonehill Communities. Any reference in this Agreement to Stonehill Communities includes its officers, employees, and agencies or subsidiaries associated with it, including such subsidiaries' officers, employees and agencies, (collectively called “Stonehill”).
Stonehill Wellness CenterMembership Application & Agreement • June 24th, 2022
This Membership Application & Agreement, Therapy Pool Waiver Agreement & Sauna & Steam Room Waiver Agreement (collectively referred to as “the Agreement”) is entered into by and between the member/applicant whose information appears on page 1 of this Agreement and Stonehill Communities. Any reference in this Agreement to Stonehill Communities includes its officers, employees, and agencies or subsidiaries associated with it, including such subsidiaries' officers, employees and agencies, (collectively called “Stonehill”).
ContractMembership Application Agreement • July 23rd, 2020
Please complete and submit this Membership Application Agreement (“Agreement”) to Z-Wave Alliance. If, for any reason, your organization prevents you from signing this Agreement electronically, then you may print, sign, and mail the completed agreement to Z- Wave Alliance at 3855 SW 153rd Drive, Beaverton, OR 97003 USA. Upon acceptance of your Agreement by Z-Wave Alliance, you will receive an invoice. Membership rights and privileges will not commence until payment in full of membership fees have been received by Z-Wave Alliance.
Middle Tennessee Association of REALTORS® (MTAR) Application for Primary MembershipMembership Application Agreement • March 6th, 2018
ContractMembership Application Agreement • August 27th, 2020
Middle Tennessee Association of REALTORS® (MTAR) Application for Primary MembershipMembership Application Agreement • March 6th, 2018
Membership Application & AgreementMembership Application & Agreement • April 20th, 2017
This Application for Membership is made on date / / betweenMembership Application Agreement • June 16th, 2017
Company Name ABN / ACN Company Address Suburb State Postcode Mailing Address Suburb State Postcode Company Phone Company Fax Main Contact Name Title First Name Surname Contact Position (e.g. QA Manager) Main Contact Phone Main Contact Mobile Main Contact Email
The American Bullmastiff Association MEMBERSHIP APPLICATION AGREEMENTMembership Application Agreement • September 1st, 2018
IMPORTANT INFORMATION ABOUT PROCEDURE[S] FOR OPENING A NEW ACCOUNTMembership Application & Agreement • June 3rd, 2021
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an Account.
MEMBERSHIP APPLICATION & AGREEMENTMembership Application & Agreement • January 18th, 2021
Membership Number Account Type: Account Ownership: Share/Savings Single-Party Power of Attorney Joint With Right of Survivorship Trust Joint Without Right of Survivorship UTMA CustodialPayable on Death (POD)
PORTLAND AMBULANCE EMERGENCY CARE PLANMembership Application/Agreement • May 3rd, 2016
PORTLAND AMBULANCE EMERGENCY CARE PLANMembership Application/Agreement • April 21st, 2016
EODSA Membership Application AgreementMembership Application Agreement • November 15th, 2012
Membership Application AgreementMembership Application Agreement • September 20th, 2021
In signing this contract, and becoming a member I certify that I am a citizen or am legally authorized to keep and bear arms under the United States Constitution and I am not in any manner prohibited from owning or using firearms under any Federal, State, or Local law or order of any Court of competent jurisdiction. I testify that I am not an illegal alien or are unlawfully in the United States. I agree to abide by the rules and regulations as may from time-to-time be promulgated by Peacemaker National Training Center LLC for conduct at the Complex.
Arlington Ridge Golf ClubMembership Application Agreement • September 23rd, 2023
This Membership Application Agreement ("Agreement") is between the Arlington Ridge Community Development District ("Arlington Ridge Golf Club" or the "Club") and the person(s) on the attached application form (the "Member(s)"). The Club has set up membership plans to allow for certain membership privileges in exchange for payment of an initiation fee (if applicable) and Annual Golf dues. This Agreement and the attached application form outline those fees and privileges.
MEMBERSHIP APPLICATION AGREEMENT - Dort Federal Credit UnionMembership Application Agreement • January 24th, 2018
Live, work, volunteer, worship or attend school in Genesee, Lapeer, Shiawassee Counties or Tyrone or Deerfield Townships of Livingston County, Michigan. Immediate family member or household resident of eligible or current member of the credit union
Authorization Agreement for Membership/PartnershipMembership Application Agreement • September 21st, 2015
ContractMembership Application Agreement • March 9th, 2021
This agreement must be signed and returned with your application.Membership Application Agreement • August 28th, 2019
Agreement 33 Edgemont Drive • Presque Isle, ME (207)768-2810Membership Application & Agreement • August 11th, 2020
CHECK ONE BELOW ASSUMPTION of RISK and RELEASE from LIABILITY1. I understand and agree that NMCC strongly recommends a physical examination within the prior 12 months for all individuals beginning an exercise program.2. I understand from my own inquiry the physical demands and risks associated with use of the Rodney Smith Wellness Center (“Center”) and participation in the programs offered, and that such risks include serious injuries, impairment or death. I hereby declare that I may safely participate in the physical activities and programs offered at the Center and I agree to assume all risks related to such activities. I further declare that I will obey the rules governing my use of the Center and participation in its programs and I agree to assume all risks associated with my failure to follow such rules.3. I also agree to release, discharge and hold harmless the Maine Community College System, NMCC, and their respective agents, employees and officers from any and all liability, d
Membership Application AgreementMembership Application Agreement • July 28th, 2023
_____ Single adult _____ Adult couple _____ Student 14-18 years + college _____ Senior (62) couple _____ Staff SV _____ Corporate __________________ _____ Senior (62) single _____ Staff KB _____ Family add-on (FAO) _____ SV resident _____ Hickory Homes 1. _____________________ Age _____ _____ KB resident 2. _____________________ Age _____ 3. _____________________ Age _____
CLUB LIMITED MEMBERSHIP APPLICATION AGREEMENTMembership Application Agreement • March 15th, 2019
Upon acceptance by the Club, this Membership Application and Purchase Contract binds both parties to all the terms and conditions of membership contained herein. The Schedules form part of and shall be incorporated into this Agreement. The applicant will have exclusive right to the number of points for the initial 3 year period commencing as identified below. Membership shall be automatically renewed on an annual basis upon payment of the annual membership fees when they become due. Member's Annual Points Usage and Membership for subsequent years following the Commencement Year stated below will commence on January 1st each year. The membership provides entitlement to RCI platinum benefits.
MEMBERSHIP APPLICATION & AGREEMENTMembership Application & Agreement • December 12th, 2022
APPLICATION & AGREEMENT FOR NEW OFFICE and/or BROKER/ SUPERVISING DESIGNATED REALTOR® MEMBERSHIPMembership Application Agreement • October 23rd, 2018
A Designated REALTOR® must have an active Texas Real Estate Broker License or Texas State Certified Appraiser Certificate and no current or pending bankruptcy. Fully complete the application and return it to WCREALTORS.
