2017 Sagamore Community Club Membership Application

One-Time Initiation Fees (Non-Refundable): A one-time fee of $400 to join. Or pay $275 for 2 consecutive years. For Seniors (65 years or older): A one-time fee of $250.

Membership Annual Dues: $315 one member (M) $400 two members (M1) $440 three members (M2) $480 four members (M3) $520 five or more members (M4)

Kids under 2 years old as of July 1st, 2015 are free. For the 2017 pool season, any child born BEFORE July 1, 2015, must be a paid member.

Senior Membership Annual Dues $250 one member 65 years or older (S) $315 two members 65 years or older (S1)

Annual Capital Improvement Fee: $30 This fee covers the ongoing renovation and capital improvements being made to the club.

Available Credits: $100 Referral Credit if a new member lists your name on their membership application (unlimited per family)

Please complete the application and mail with payment to:

SAGAMORE COMMUNITY CLUB P.O. Box 98349 Atlanta, GA 30359

Alternatively, applications can be emailed to [email protected].

Please make checks payable to Sagamore Community Club, Inc. Sagamore Community Club Membership Application A Non-Profit Corporation

(all members should reside in the same household)

Member Name #1: ______Age: ______

Member Name #2: ______Age: ______

Member Name #3: ______Age: ______

Member Name #4: ______Age: ______

Member Name #5: ______Age: ______

Member Name #6: ______Age: ______

Street Address ______

City ______Zip Code ______

Home Phone ______

Cell Phone ______

Interested in Barracuda Swim Team (Ages 3 – 18)? ______(if yes, we will forward more info)

Referred by? (list SCC Member name)______

E-Mail Address ______

Additional E-Mail Address (if desired) ______

I wish to receive my SCC statements by ______Email OR ______Postal Mail FEE SUMMARY:

Annual Membership Dues Fee: (Choose One) $315 one member (M) $400 two members (M1) $440 three members (M2) $480 four members (M3) $520 five or more members (M4) $250 one member 65 years or older (S) $315 two members 65 years or older (S1)

Initiation Fee: (Choose One) $400 One Time Fee $275/yr for two consecutive years

Capital Improvement Annual Fee: $30

TOTAL DUE:

Signature: ______

Date: ______