2020 Westleigh Membership Form

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NEW MEMBERS: There is a one-time $400 Initiation Fee, plus an annual Membership Fee. See chart below for annual membership fees.

New Member special for 2020: $400 initiation fee (payable in 1 lump sum or 2 annual payments ), up to $100 discount on your 2020 membership fee. New Senior Individual Memberships and Senior Couple Memberships, receive a $100 discount on initial fee. *Contact Membership manager for more information.

2020 ANNUAL MEMBERSHIP FEE OPTIONS:
INDIVIDUAL - $375
COUPLE - $425
FAMILY - $600
SENIOR INDIVIDUAL (AGES 60 and over, includes grandchildren not residing with member) - $275
SENIOR COUPLE MEMBERSHIP (AGES 60 and over, includes grandchildren not residing with member) - $325

2020 TENNIS ONLY ANNUAL MEMBERSHIP FEE:
INDIVIDUAL TENNIS ONLY - $275
COUPLE TENNIS ONLY - $325

CURRENT MEMBERS: Pay your membership fee by January 31, 2020 to lock in the 2019 rates for your 2020 membership.

Email *

Untitled Title

TYPE OF MEMBERSHIP *

RENEWAL - Due by February 29, 2020 to receive 2019 rates

NEW MEMBER - A one time $400 nonrefundable Initiation fee is due your first year

MEMBERSHIP CATEGORY/DUES *

Family - $600

Couple - $425

Individual - $375

Senior Couple - $325 (ages 60+, includes grandchildren who do not reside with you)

Senior Individual - $275 (ages 60+, includes grandchildren who do not reside with you)

Tennis Only Couple - $325

Tennis Only Individual - $275

INFORMATION: First Name *

INFORMATION: Last Name *

Address: (Street, City, Zip) *

INFORMATION: Phone *

FOR FAMILY MEMBERSHIP: List child #1 and other family; Relationship (Son/Daughter/Other), Birth Date

FOR FAMILY MEMBERSHIP: List child #2 and other family; Relationship (Son/Daughter/Other), Birth Date

FOR FAMILY MEMBERSHIP: List child #3 and other family; Relationship (Son/Daughter/Other), Birth Date

FOR FAMILY MEMBERSHIP: List child #4 and other family; Relationship (Son/Daughter/Other), Birth Date

FOR FAMILY MEMBERSHIP: List child #5 and other family; Relationship (Son/Daughter/Other), Birth Date

OPTIONAL ADDITIONS:

10 Guest Pass Credits ($50) (credits do not expire).

Nanny Pass ($25)

New Member Initiation discount *Membership Manager will contact you

Referring family (first and last name)

PAYMENT *

Check (payable to Westleigh Recreation Club, mail to: P.O. Box 3633, Gaithersburg, MD 20885 )

ACH/EFT from My Bank

Credit Card Payment plus a 3% fee (you will be invoiced)

All members of my membership listed above agree to abide by the rules and regulations established by Wesleigh Recreation Club. Your typed name below represents your signature. *

A copy of your responses will be emailed to the address you provided.

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