Change Membership Status to Active

To: The Members of the RPC Board of Governors

I request permission from the Rocky Point Club Board of Governors to change my membership status to Active. I hereby certify that I understand the requirements for such membership status as set forth in the Rocky Point Club bylaws and will fulfill all conditions set out therein. We further state that we will comply with the regulations stated in the by-laws and with the provisions of the Neighborhood Agreement governing the new status.

Date

YYYY

Membership Number

Joint Membership

Yes

Name of Member

First Name

Last Name

2nd Member's Name (if Joint)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Signature