RPC Senior Membership Request Form

To: Members of the Board of Governors

Date *
Joint Membership *
Name of Member *
Name of Member
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.
2nd Member's Name (if Joint)
2nd Member's Name (if Joint)
Phone *