MCC Membership Application - Maplecrest Country Club

Interests

Personal Information

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Email(Required)

Birth Date

Spouse Name

Birth Date

Children

Name

Birth Date

Employer Information

Employer's Name

Employer's Address

Street Address Address Line 2 City State ZIP Code

Employer's Phone

Position

Contact to authorize business changes

Name

First Last

Title

New business member must complete all personal information on application. A $100.00 business transfer fee will be applied to business member account. Business membership statements are mailed to the business.

Transfer business membership from:

First Last

Transfer Date

Authorization signature for change in membership

Date

Payment Options

Member Dues

Annually

Monthly

Membership dues are a member’s annual payment toward the operating cost of MCC and paying dues monthly is a convenience only. Upon acceptance into the club you are responsible for the entire year’s dues. If you terminate your membership before payment of annual dues, the entire balance of the dues is immediately due and payable.
All applications and changes are subject to approval by the Board. Club membership includes applicant’s immediate family members. The facilities of the Club will be available to the applicant upon Board approval as well as all paperwork signed and payment of all fees.Upon signing this application I agree to all terms with Maplecrest Country Club.

Signature

Applicant's Signature

Applicant's Spouse Signature

Upon Board approval of my/our application I/we hereby signify by my/our signature as members to abide by and observe MCC by-laws,rules and policies set by the Board of Directors.

Sponsor's Name

First Last

Sponsor's Signature