The_Reserve_Membership_App_Editable-NEW_distributed

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for club useDate received: Complete? Yes No Application for MembershipPERSONALI am interested in Membership at The Reserve Club and I am providing the following information:Name:Birthplace:Date of Birth:First Middle Last Month Day YearCitizen of:Residence Address:State/ProvinceStreetCityCountry Zip Phone ( )Local Area Residence (if any):StreetCell Phone: ( )Occupation or Business:CityEmail Address:ZipCapacity:Employed By:How Long:Business Address: StreetCityState/Province Country Zip Phone ( )Business Email Address:If employed less than five years, please list two previous employers:1. Company Name How Long2. Company Name How LongPlease give a short resume of your professional career below:
Kindly indicate past and present golf, country, social and business club affiliations:Present: 1.2.Past: 1.2.( )Name City ontact Person Phone Member Since( )Name City ontact Person Phone Member Since( )Name City ontact Person Phone Member Since( )NameCity ontact Person Phone Member SinceCivic or Fraternal Organizations: (list below)Please indicate offices held at any of the previously listed clubs and organizations below:Present Golf Handicap:Ever denied membership or suspended or expelled from any Clubs or similar organizations?Have you ever been convicted of or pled guilty to a felony or other crime involving moral turpitude?EDUCATION (APPLICANT)Spouse’s Golf Handicap:Yes(click to check)Yes(click to check)NoIf yes, please attach explanation.NoIf yes, please attach explanation.High School: Name City State/Province Grad YearCollege: Name City State/Province Grad YearOther: Name City State/Province Grad YearEDUCATION (SPOUSE)High School: Name City State/Province Grad YearCollege: Name City State/Province Grad YearOther: Name City State/Province Grad YearFAMILYMarital Status: Single Married Divorced Widowed(click to check)Spouse’s Name:First Middle Last Maiden Date of Birth Anniversary DateSpouse’s Cell Phone: ( )Email Address:Spouse’s Occupation or Business:Spouse’s Organization Affiliations:Children:First Last Date of Birth First Last Date of BirthFirst Last Date of Birth First Last Date of Birth
Page 1: membership application

The_Reserve_Membership_App_Editable-NEW_distributed

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