2024 Orchard Hill Swim Club Dues Payment Form

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This form is designed to calculate/communicate the membership details and dues each OHSC membership is paying in 2024. Once completed and submitted, a confirmation message will show payment instructions for mailing in a check or using the echeck portal (not a credit card option). There is no need to print and mail this form once submitted.

This complete form is required to submit any membership payments.

Any questions, feel free to email OHSCboard@gmail.com.

We look forward to a great 2024 season.

Email *

Membership status *

New member for 2024

Returning member

Membership Primary Name (first and last) *

Membership Secondary Name (first and last)

Mailing Address (street, city, state, zip) *

Phone Number(s) *

Email address(s) for club communications *

List all family members (names, ages) under the age of 25 and still living at home that will be using the membership. *

Membership Type *

Family $730.88 ($678.00+$52.88 tax)

Single Plus One $563.79 ($523.00 + $40.79 tax)

Single $391.31 ($363.00 + $28.31 tax)

Babysitter membership addition *

Yes $107.80 ($100.00 + $7.80 tax)

Babysitter name(s) or NA if not adding babysitter *

Initiation Fee (first year only) *

Yes ($75 includes tax)

Bond Payment Options *

NA- already paid in full

Single ($150.00)

Single + 1 Partial Payment ($112.50 paid over 2 years)

Single + 1 Full Payment ($225 in first year)

Family Partial Payment ($100 paid over 3 years)

Family Full Payment ($300 in first year)

I have a membership credit or already paid 2024 dues in full during 2023. *

YES

Required

This requires some math......

Total Payment for 2024=

(membership + sitter + initiation fee + bond payment - 2023 credits)

IMPORTANT: Note your total for the next step, payment.

Payment method *

Mailed check (Orchard Hill Swim Club, PO Box 53114, Cincinnati Ohio 45253)

Electronic check portal (link is in confirmation window immediately following form submission)

I have read the pool rules and agree that patrons at Orchard Hill Swim Club under my membership will adhere to the pool rules. *

I have read and agree to the rules

Required

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

Submit

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