Candidate Information. Primary Candidate π Mr. π Mrs. π Ms. π Dr. Preferred Name Other Date of Birth / / Home Address: Home Phone Cell Phone Preferred Email Spouse/Partner π Mr. π Mrs. πMs. πDr. Preferred Name Other Date of Birth / / Cell Phone Preferred Email Yes I/We have dependents as indicated below No I/We do not have dependents residing with us / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No Member Who Referred me/us is Alexandria Golf Club offers three forms of payments for monthly statements. Please review the following information and select the option you wish for your account. Auto Debit β Automatic withdrawal from a checking or savings account on the 15th of each month Cash or Check β due on the 29th of each month If you have any questions about these options, please contact our business office at 320.762.1093.
Appears in 1 contract
Sources: Membership Application and Agreement
Candidate Information. Primary Candidate π Mr. π Mrs. π Ms. π Dr. Preferred Name Other Date of Birth / / Home Address: Home Phone Cell Phone Preferred Email Spouse/Partner π Mr. π Mrs. πMs. πDr. Preferred Name Other Date of Birth / / Cell Phone Preferred Email Yes I/We have dependents as indicated below No I/We do not have dependents residing with us / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No Member Who Referred me/us is Alexandria Golf Club offers three forms of payments for monthly statements. Please review the following information and select the option you wish for your account. Auto Debit β Automatic withdrawal from a checking or savi10th ngs account on the 15th of each month Cash or Check β due on the 29th of each month If you have any questions about these Debit/Credit Card β Credit Card Payments are accepted on the Member Portal or in options, please contact our businessBusiness Office office at 320.762.1093.
Appears in 1 contract
Sources: Membership Agreement
Candidate Information. Primary Candidate π Mr. π Mrs. π Ms. π Dr. Preferred Name Other Date of Birth / / Home Address: Home Phone Cell Phone Preferred Email Spouse/Partner π Mr. π Mrs. πMs. πDr. Preferred Name Other Date of Birth / / Cell Phone Preferred Email Yes I/We have dependents as indicated below No I/We do not have dependents residing with us / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No / / π Son π Daughter π Yes π No Member Who Referred me/us is Alexandria Golf Club offers three forms of payments for monthly statements. Please review the following information and select the option you wish for your account. Auto Debit β Automatic withdrawal from a checking or savings account on the 15th of each month Cash or Check β due on the 29th of each month If you have any questions about these options, please contact our businesBusiness Office by calling βββsβββ.ββββ. office at 320.762.1093.
Appears in 1 contract
Sources: Membership Agreement