River Station Swim & Tennis Club, Inc

River Station Community Association, Inc. PMB 108 6050 Peachtree Parkway, Suite 240 Norcross, Georgia, 30092-3337

Application for Membership and Neighborhood Directory Information

( ) I DO wish to become a FULL member of the River Station Community Association, Inc. and agree to abide by the Club Rules and Bylaws which are incorporated herein and made a part of this agreement by agreement by reference. Attached is my check, made payable to “RSCA”, in the amount of $______which includes $______for initiation fees and $______for pro-rated current year dues.

( ) I DO NOT wish to become a member of the River Station Community Association. at this time, however, please list my family names and phone number(s) in the River Station directory.

______Name Employer/Occupation Work Phone

______Spouse Name Employer/Occupation Work Phone

______River Station Street Address Home Phone Children’s Phone

______Current Address & Phone (if different from above) Email Address

I plan to occupy my River Station home on (date)______( ) Own ( ) Rent** ** Special rules apply to families renting homes in River Station. Please talk to a Board Member.

Other family members residing with you in River Station:

______Name/Relationship Birth date Special Interests

(Special interests include baby sitting, lawn care, pet care, house sitting, etc.)

The Club is managed by a volunteer organization selected from the membership. Please indicate your interest below:

( ) Board of Directors ( ) Front Entrance Committee ( ) Tennis Committee ( ) Newsletter ( ) Block Captain ( ) Swim Team Committee ( ) Pool Committee ( ) Social Committee ( ) Membership Committee ( ) Grounds Committee

Signature______Date______

Please mail this form and check to the Club mail box or give to a current Board Member.