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1.

Letters of recommendation from Sponsors and $100 application fee, plus appropriate membership/equity fee, must accompany this application in order to begin the interview process. I understand that upon acceptance of this nomination

for membership I am indebted to the club for: Equity Certificate: $ Initials: ____________________________ Initiation Fee: $____________________________ Initials: All dues and assessments as applicable: Initials:_______ _______ _______

2.

The undersigned hereby agree(s) to be responsible for and pay when due all charges for dues, initiation fees, house charges, pro shop charges and all debts incurred by the undersigned, agree(s) to be bound by the by-laws of the club, and understands that the membership initiation fees paid by me shall be non-refundable.

3.

I have read all of the above information and understand the requirements for membership in Radley Run Country Club.

Applicant’s Signature

Primary Sponsor*

Secondary Sponsor*

Date

*signature not required

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