APPLICATION FOR MEMBERSHIP

I hereby apply for a membership in the Pendleton Country Club.    Please check the appropriate membership.
Senior 65 to 74 years of age -   Super Senior 75 years of age and older.

Initiation Fee        $1000.00 waived until further notice

CORPORATE - $1587	FAMILY - $1587	CO-ED - $1587
SINGLE - $1190	SENIOR FAMILY - $1305	SENIOR SINGLE - $1058
SUPER SENIOR SINGLE - $922	SUPER SENIOR FAMILY - $1058

Yearly Dues $_______________

Name of Applicant __________________________________ Spouse ___________________________

Address ___________________________________________

___________________________________________

Home Phone _________________________ Cell Phone _______________________

Email ____________________________________________

Unmarried children living at home

1)_______________AGE______ 4)_______________AGE______

2)_______________AGE______ 5)_______________AGE______

3)_______________AGE______ 6)_______________AGE______

Place of Employment_______________________________________________

Address of Business_____________________________________ Business Phone__________________

Member Sponsored by____________________________________

I hereby agree to abide by the by-laws and the Rules and Regulations of Pendleton Country Club.

Enclosed is my check for $___________________

Signed ___________________________________

Application Approved _______________ Date__________________