Experience Spotswood Country Club
TYPE OF DESIRED MEMBERSHIP
o Premier
o Full (Ages 40 & Over)
o Full (Ages 30-39)
o Full (Ages 29 & Under)
o Social
o Pool
o Clubhouse
o Non-Resident
APPLICANT INFORMATION Name Title First
MI
Last
Home Address
Street
City
State
Zip Code
Billing Address (if different)
Street
City
State
Zip Code
Primary Email Address
Mobile Telephone Number
Date of Birth
Occupation and/or Nature of Business or Profession
o Retired
Name of Company
Title
Business Email Address
Business Phone Number
o Single
o Married
o Significant Other
o Widowed
Anniversary Date
SPOUSE/SIGNIFICANT OTHER INFORMATION Name Title First MI
Last
Primary Email Address
Mobile Telephone Number
Date of Birth
Occupation and/or Nature of Business or Profession
o Retired
Name of Company
Title
Business Email Address
Business Phone Number
CLUB CORRESPONDENCE Please send any and all official correspondence to the following addresses:
o Primary Email
o Business Email
o Spouse/SO Email
o Home Address
o Billing Address
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