Avalon Golf and Country Club
I hereby apply for admission as a member of the Avalon Golf and Country Club. If accepted I agree to abide by the terms and conditions of membership now in effect or as adopted or amended.
All Avalon Memberships are a twelve- (12-) month commitment and are automatically renewed on your anniversary date.
Applicant's Name:
Date of Birth:
Home Address:
City:
State:
Zip:
Home Phone:
Home Fax:
Cell Phone:
E-mail:
Applicant's Title/Occupation
Business Name:
Business Address:
City:
State:
Zip:
Bus. Phone:
Bus. Fax:
E-mail:
Is this business responsible for payment of dues? Yes No
Should Club correspondence be sent to the business address      or home address
How would you like your statements sent? Paperless/E-mailed Mailed($3 per month fee)

PLEASE COMPLETE THE FOLLOWING IF YOUR SPOUSE IS ALSO JOINING
OR IF YOU ARE PURCHASING A FAMILY PLAN

Spouse's Name:
Date of Birth:
Children's Names: (If applicable, please list university and graduation date.)
Name Date of Birth       University/Graduation Date
                       
                       
                       
                       

PLEASE COMPLETE THE FOLLOWING IF A PERSONAL HOUSE ACCOUNT
(CHARGING PRIVILEGES) IS REQUESTED OR IF THE MONTHLY PAYMENT PLAN IS CHOSEN.
Member's Social Security Number:
Member's Primary Bank:
Account Number:
Address:
City/State/Zip
The following family members are also allowed to charge on my account (Family memberships only).
                                    
                                    
I hereby request Avalon Golf and Country Club (the "Club") to grant me
credit in accordance with the terms and conditions of membership. I certify that all the above
information herein is true and complete. I authorize the Club to retain this application, to rely
on the foregoing, to check and verify my credit history by obtaining credit reports from consumer
reporting agencies, and to obtain such other information concerning my credit worthiness as the
Club deems necessary. I further authorize my references and financial institutions to release or
verify information to the Club.
    
Member:                                      Date:                                     
                   Signature

PLEASE COMPLETE THE FOLLOWING IF A BUSINESS OR CORPORATE HOUSE ACCOUNT IS REQUESTED
Type of Business:         Corporation        Sole-Propietor        Partnership       
Business' Primary Bank
Account Number:
Address:
City/State/Zip
Account Officer
Telephone Number:
TRADE REFERENCES
1) Name  2) Name  
Address  Address  
                            
   Phone     Phone  
The undersigned hereby requests Avalon Golf and Country Club to grant the above business credit in accordance with the terms and conditions of membership.
   
Application completed by:
Printed Name  Title  
Signature  

   The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law.

In consideration of acceptance is a member of Avalon Golf and Country Club, ("Club"), I agree to the following:

1.   I acknowledge receipt of and agree to familiarize myself with and abide by the terms and conditions of membership of the Club as now in effect or as amended in the future.
 
2.   I understand that I am personally responsible for dues and all other charges and that all amounts due will be paid within 30 days or within other limits fixed by the Club. I understand that delinquent accounts will be charged late fees and interest and that my membership may be suspended or terminated for non-payment.
 
3.   I agree that any resignation submitted by me shall be in writing to the Club. I understand that my resignation shall not relieve me of any obligations or indebtness of mine to the Club and that I remain responsible for all charges.
 
4.   I understand that dues are annual and my election to pay dues on a monthly basis does not relieve me of my obligation to pay the annual dues in full.
 
5.   I understand and agree that if I use the Club exercise facilities and equipment it will be at my own risk. I hereby knowingly and voluntarily waive any claim that I may have against the Club or its affiliates arising from such use.
 
6.   I hereby acknowledge that all of the statements set forth in this application are true and correct, and that I have withheld no information of a material nature, which would affect action on my membership application.
 
7.   I understand that I can have my Club statements sent to me by e-mail or traditional postage. If I elect traditional postage, I understand that I am subject to a $3 monthly service fee.
                                                                                                            
     Signature of Applicant Date

MEMBERSHIP TYPE SELECTED
The Avalon Membership
Without Golf
Individual
Family
The Avalon Membership With Golf
Individual Plan 1      Family Plan 1
Individual Plan 2      Family Plan 2
Individual Plan 3      Family Plan 3
ENCLOSED PAYMENT
Enclosed:       $                      Dues-See Avalon membership plans for annual and monthly rates.
    Include two months dues if a monthly plan is chosen.
  $                      Avalon Inn and Resort
                             Men's Premium $1000    Men's Standard $500   Men's Daily Use $180Women's Daily Use $180   
  $                      Men's Annual Locker Fee($180 - Locker Rental is optional)
  $                      Men's Annual Family Locker Fee*($220 - Locker Rental is optional)
         Requested Location    Avalon Lakes    Squaw Creek   Buhl Park
  $                      Ladies' Annual Locker Fee($180 - Locker Rental is optional)
  $                      Ladies' Annual Family Locker Fee*($220 - Locker Rental is optional)
         Requested Location    Avalon Lakes    Squaw Creek   Buhl Park
  $                      Subtotal
  $                      6.75% sales tax(effective as of September 1, 2013.)
  $                      Total payment enclosed
 
*Locker rental is optional, however, to have use of the locker room facilities, you must be a locker renter.
*Fathers and Sons or Mothers and Daughters who are under the same family membership may share a locker when the family locker fee is paid.
* PLEASE MAIL MEMBERSHIP APPLICATION TO:
   Avalon Golf and Country Club
   One American Way
   Warren OH 44484