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Application
 
  • Applicant Information

    Full name


    Address line 1

    Address line 2


    City

    ZIP Code

    State


    Length of Residence


    Home Phone

    Home Fax


    E-mail address

    Date of Birth


  • Employer Information

    Employer

    Length of Employment

    Position


    Address line 1

    Address line 2


    City

    ZIP Code

    State


    Phone

    E-mail

    Fax


    Previous employer

    Previous length of employment

    Previous position


  • Spouse Information

    Full name

    Date of Birth

  • Spouse Employer Information

    Employer

    Length of Employment

    Position


    Address line 1

    Address line 2


    City

    ZIP Code

    State


    Phone

    E-mail

    Fax


  • References

    Please list three (3) current Ridgeway Country Club Members only.


    Name

    Name

    Name

  • Club Affiliations

    Please list all private, fraternal, or civic club memberships you have held / presently hold.

    Name

    Address


    Name

    Address


    Name

    Address


  • Dependent Information

    Please list all children under the age of 21.

    Name

    Date of Birth


    Name

    Date of Birth


    Name

    Date of Birth


    Name

    Date of Birth


    Name

    Date of Birth


    Name

    Date of Birth


  • Contact Preferences

    Send all statement notices to:

    Send all social and club correspondence to:

  • Membership Classification

    Payment must be submitted with application. Please make checks payable to Ridgeway Country Club.


    Category

    Total amount of check

    Initiation Fee

    Agreement

    The undersigned hereby applies for membership in the Ridgeway Country Club and agrees to remain a member for a period of not less than twenty-four (24) months, transfers out of the area excepted. It is further understood that Club privileges shall not begin until this application is approved by the Ridgeway Country Club Board of Directors. Furthermore, the undersigned hereby agrees to pay for all dues, assessments, and/or charges for food and service costs within 30 days, and further agrees to pay all costs, including reasonable attorney fees and expenses, and court costs incurred in the cost of the indebtedness.

    By-Laws

    It is understood that if I do not comply with the By-Laws of the Ridgeway Country Club Corporation and the Rules and regulations promulgated by the Director and different committees effective at present and in the future, I will be subject to suspension or expulsion by the Board of Directors.

  • Authorization and Release Information

    I hereby authorize and request any law enforcement agency, financial institution, or other person having personal knowledge about me to furnish Data Facts, Inc. any and all information in their possession regarding me, in connection with an application for membership with Ridgeway Country Club.

    I understand and offer my consent for Data Facts, Inc. to inquire into and/or obtain any records such as credit and criminal histories.

    My signature on this form waives any rights I may have to bring action for defamation, invasion of privacy, or similar causes against Data Facts, Inc., and/or agents or clients of Data Facts, Inc.

    I am willing that a photocopy of this authorization be accepted with the same authority as the original.

    Applicant Full Name

    Maiden Name


    Former Married Name

    Date of Name Change


    Date of Birth

  • Current Residence

    Address line 1

    Address line 2


    City

    ZIP Code

    State


    Length of Residence

    County

    First previous Residence

    Address line 1

    Address line 2


    City

    ZIP Code

    State


    Length of Residence

    County

  • Second previous Residence

    Address line 1

    Address line 2


    City

    ZIP Code

    State


    Length of Residence

    County