2010 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 - $1735	_____ FAMILY - $1735	_____ CO-ED - $1735
_____ SINGLE - $1330	_____ SENIOR FAMILY - $1445	_____ SENIOR SINGLE - $1190
_____SUPER SENIOR SINGLE - $1050	_____ SUPER SENIOR FAMILY - $1190

Yearly Dues $_______________

Name of Applicant __________________________________ Spouse ___________________________

Address ________________________________________________________________________________

Home Phone _______________________________ Cell Phone ______________________________

Email ____________________________________________

Unmarried children living at home

1)________________AGE______ 2)________________AGE______ 3)__________________AGE______

4)________________AGE______ 5)________________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__________________