RPC Senior Membership Request Form

CRITERIA:

Must be 65 years of age
Must have been a member of the club for 20 years
Joint membership requires each member to meet the above criteria.
Click HERE for most current Senior Waiting List.

FORM SUBMISSION DATE

MM

DD

YYYY

MEMBER NUMBER

Year Joined

JOINT MEMBERSHIP

Yes - Joint Membership

No - Individual Membership

NAME OF MEMBER

First Name

Last Name

BIRTH DATE

MM

DD

YYYY

2nd MEMBER'S NAME (if Joint)

First Name

Last Name

BIRTH DATE (member #2)

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Signature

I request permission from the Rocky Point Club Board of Governors to change my membership status to that of Senior member. 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. I further state that I will comply with the regulations stated in the by-laws and with the provisions of the Neighborhood Agreement governing the new status.

RPC Senior Membership Request Form

CRITERIA:

Must be 65 years of age

Must have been a member of the club for 20 years

Joint membership requires each member to meet the above criteria.

Click HERE for most current Senior Waiting List.

Rocky Point Club