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Application

Bellevue Golf Club

MELROSE, MASSACHUSETTS

APPLICATION for MEMBERSHIP

 

Name: ____________________________________________________________________

                              (Print or Type)

 

Rules of the Membership Committee

* A check for the Club Entrance Fee must be attached to the application.

* A check for the Golf Entrance Fee (if applicable) must also be attached to the application.

* A candidate for membership is required to be personally sponsored by two (2) members of the Club who have belonged for a least one calendar year.

* The names and addresses of two (2) references are required.

* It is the responsibility of the first sponsor to see that these requirements are fulfilled.

* Action on this application will be taken when all requirements are met.

 

Please forward applications to:

 BELLEVUE GOLF CLUB MEMBERSHIP COMMITTEE

P.O. Box 760661

Melrose, MA  02176

(page 1)

 

I ________________________________________________________ hereby apply for

                   (Print or type name)

membership in Bellevue Golf Club, and if elected, do agree to abide by the By-Laws of the Club and Rules and Regulations of the Board of Governors, and to pay when due the amount as provided under the class of membership selected.

Home Address: ________________________________________________________________________

(Street)

 _____________________________________________________________________________

(City or Town & Zip Code)

 __________________________________   EMAIL ADDRESS:  _________________________

(telephone number)

Occupation

____________________________________________________________________________

(Business and Position)

 _____________________________________________________________________________

(Name of Concern)

 _____________________________________________________________________________

 (Business Address)                                        (telephone no.)

_____________________________________________________________________________

Bank References

 _____________________________________________________________________________

Wife's Full Maiden Name

 Name and Date of Birth of Members of Immediate Family:

                                                                                              -Privileges Desired -

Name                                                 Birth Date                Golf                  Pool     Tennis

                                                                                     Full/Limited

 Self ______________________      __________        ____________      ____    _____

 Spouse____________________      __________        ____________      ____    _____

 _________________________      __________        ____________      ____    _____

 _________________________      __________        ____________      ____    _____

 _________________________      __________        ____________      ____    _____

 _________________________      __________        ____________      ____    _____

 _________________________      __________        ____________      ____    _____

 List Clubs and Organizations to Which You Belong ______________________________

 _______________________________________________________________________________

 List Bellevue Members With Whom You Are Personally Aquainted.________________________

 _______________________________________________________________________________

 List Two (2) References (Names and Addresses) _________________________________

 _______________________________________________________________________________

 _______________________________________________________________________________

 I do hereby agree to purchase.________shares of ownership at $200.00 per share.

______________                            _____________________________________

(Date)                                    (Applicant's Signature)

______________                Approved By      _____________________________________

(Date)                                          (Membership Committee)

(page 2) 

 

To Be Completed by First Sponsor

 How many years have you known Applicant?

 

What social contact have you had?

 

What are your business relations?

 

Do you know wife (husband) of applicant socially?

 

Does your wife (husband) know her (him) socially?

 

If there are children, do you know them personally?

How frequently have you entertained applicant and his (her) family in your own home?

 

Knowing Bellevue to be a family club, are you willing to recommend applicant and his (her) family without reservations?

 

Further comments:  (It is best to assume the Committee knows nothing about the Applicant)

 

 

I am personally acquainted with the applicant and believe, if elected, he (she) will be a desirable Member of the Club and would be well received by Bellevue members.

_______________      _______________________________________________________ 

(Date)                (Signature)

 (page 3)

 

To Be Completed by Second Sponsor

How many years have you known Applicant?

 

What social contact have you had?

 

What are your business relations?

 

Do you know wife (husband) of applicant socially?

 

Does your wife (husband) know her (him) socially?

 

If there are children, do you know them personally?

 

How frequently have you entertained applicant and his (her) family in your own home?

 

Knowing Bellevue to be a family club, are you willing to recommend applicant and his (her) family without reservations?

 

Further comments: (It is best to assume the Committee knows nothing about the Applicant)

 

I am personally acquainted with the applicant and believe, if elected, he (she) will be a desirable member of the Club and would be well received by Bellevue members.

___________________          __________________________________________________

(Date)                        (Signature)

 

(page 4)


 Local Time: 9/5/2010 4:58:03 pm E.S.T. Contact Bellevue Golf Club: jdesrosiers@bellevuegolfclub.com 
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