Experience Spotswood Country Club

DEPENDENT INFORMATION Please list any children ages 24 and under eligible to use club facilities:

1. Name

Age

DOB

Gender o Male o Female

Email Address

Charge Privileges o Yes o No

2. Name

Age

DOB

Gender o Male o Female

Email Address

Charge Privileges o Yes o No

3. Name

Age

DOB

Gender o Male o Female

Email Address

Charge Privileges o Yes o No

CLUBS AND ORGANIZATIONS 1. Name

City

Type (Golf, Social, etc.)

From

to

o Current Member

2. Name

City

Type (Golf, Social, etc.)

From

to

o Current Member

3. Name

City

Type (Golf, Social, etc.)

From

to

o Current Member

SPONSOR INFORMATION Membership in Spotswood Country Club is by invitation. Name

Member #

Years Known

Signature

AUTHORIZATION By signing this Invitation to Membership for Spotswood Country Club (SCC), I hereby authorize SCC, through its representatives, to make inquiry of my financial condition, our family and professional background, and specifically authorize them to make inquiry of consumer credit reporting organizations. All Member Candidates must be recommended by the SCC Membership Committee and approved by the SCC Board of Directors. The undersigned does hereby acknowledge, accept, and understand that I have truthfully and to the best of my ability answered all application questions.