Membership Application Form
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Text in this Example:
Date of Birth
Own Rent (Please circle)
Monthly payment or rent:
Hourly Salary (Please circle)
Name of a relative not residing with you:
SPOUSE INFORMATION IF JOINT MEMBERSHIP
Date of birth:
SPOUSE EMPLOYMENT INFORMATION
CHILDREN IF MEMBERSHIP PRIVILEGES DESIRED
I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.
Signature of applicant:
Signature of spouse (only if for a joint membership):