2016 MEMBERSHIP APPLICATION AND CONTRACT HEAD OF HOUSEHOLD: ___________________________ D.O.B.:_________________________ Address: _____________________________________Zip:___________Name of Employer _______________________ Email: ____________________________________________________________________________________________ TX Drivers License #: _____________________ Home Ph________________________Wk Ph_________________________CellPh_____________________________ Spouses’ Name: ________________________________ Name of Employer: ___________________________________ Children: 1.___________________________age____________ 3._______________________age_____________ 2.___________________________age_____________4._______________________age_____________ *INITIATION FEE: $500.00 NOTE: VISA, Mastercard, American Express, & Discover accepted MEMBERSHIP CONTRACT In consideration for a one (1) year membership to the GREEN TREE TENNIS CLUB, I/We hereby agree to pay the following annual membership fees, (as indicated by the box checked below), which is payable in one lump sum or in 12 equal monthly payments: INITIAL OR CHECK MEMBERSHIP DESIRED: ____*FULL MEMBERSHIP/FAMILY/Head of household under 30 yrs of age or 65 years of age or older: $936.00 annually or $78.00/month for 12 months on or before the first day of each month as hereunder provided. Prices do not include sales tax. ____*FULL MEMBERSHIP/FAMILY/Head of household 30 yrs. of age and over: $1140.00 annually or $95.00/month for 12 months on or before the first day of each month as hereunder provided. Prices do not include sales tax. ___* FULL MEMBERSHIP/SINGLE/Head of household under 30 yrs. of age or 65 years of age or older: $792.00 annually or $66.00/month for 12 months on or before the first day of each month as hereunder provided. Prices do not include sales tax. ___ *FULL MEMBERSHIP/SINGLE/Head of household 30 yrs. of age and older : $936.00 annually or 78.00/month for 12 months on or before the first day of each month as hereunder provided. Prices do not include sales tax. RENEWAL DATE IF PAYING MONTHLY: RENEWAL DATE IF PAYING ANNUALLY : MONTHLY PAYMENT OBLIGATION I/We promise to pay MONTHLY the yearly dues of _____ in 12 equal monthly payments of with the first payment due on the first day ______________________ and subsequent like payments due on the first day of every month thereafter until such membership fee is fully and finally paid . OR ANNUAL OBLIGATION I/We promise to pay YEARLY dues of ___________(+tax) in one annual payment, with the payment due on the first day of ________ . If payment is made annually, there is a free one month membership added to your renewal date. FOR VISA,MASTERCARD,DISCOVER,AMERICAN EXPRESS: I authorize a representative of Green Tree Tennis Club to charge the above referenced monthly installment payment to my ___MC___VISA ___DISC ___ AM EX credit card: Credit card number ________________________________________ “V code”_____________Exp. Date __________ Signature X___________________________________________________________________ Date _______________ READ CAREFULLY I UNDERSTAND THAT IF I ELECT TO PAY THE MEMBERSHIP DUES ON THE MONTHLY INSTALLMENT BASIS AND DEFAULT IN THE PAYMENT OF ANY INSTALLMENT THEREBY DUE, THEN AUTOMATICALLY AND WITHOUT OR DEMAND, THE WHOLE AMOUNT OF THE ANNUAL MEMERSHIP DUES AND ANY OTHER CHARGES THEN UNPAID AT THE TIME OF DEFAULT SHALL BECOME IMMEDIATELY DUE AND PAYABLE. CREDIT INQUIRIES ARE AUTHORIZED WHEN THE ACCOUNT IS PAST DUE. COLLECTION EXPENSES WILL BE PAID BY THE APPLICANT. I AUTHORIZE A REPRESENTATIVE OF GREEN TREE TENNIS CLUB TO CHARGE THE BALANCE OF YEARLY UNPAID DUES AND OTHER UNPAID CHARGES TO MY CREDIT CARD (LISTED ABOVE) or TO DEBIT THE UNPAID BALANCE FROM MY CHECKING ACCOUNT. NOTE: Yearly membership will auto-renew unless written notice (e-mail or other written form) is received 15 days after renewal date. Private food and drink are allowed in the picnic area only. In consideration for the use of Green Tree facilities, the above listed applicant does Release, Acquit, Discharge and agree to Indemnify and hold Green Tree Tennis Club harmless on account of or in any way related to applicant’s use of club facilities, or use, consumption or serving of any alcoholic beverage at Green Tree and/or in conjunction with applicant’s activities at Green Tree. Member Signature: X______________________________________________Date: ____________________ Member Printed Name: ________________________ MEMBERSHIP AGREEMENT APPROVED AND ACCEPTED AT GREEN TREE TENNIS CLUB: BY: _____________________________ Print Form