INVOICE North St. John’s Swim and Tennis Club, Inc. 2015 This is your invoice for your membership dues for the 2015 season (see fees below). Mail Dues and/or relinquish your bond to: Cindy McNemar 3212 Ginger Bread Court Ellicott City, MD 21042 Article IV, Section 5, requires that members that have not paid their dues or relinquished their bond by March 1, 2015, will be assessed a $75.00 late charge. If payment with late fee is not postmarked by March 15, 2015, your membership is automatically terminated. There will be NO exceptions to this policy. Checks should be made payable to: North St. John's Swim and Tennis Club, Inc. ** Dues payments are not tax deductible ** Family Membership – Invoice on Page 2: One membership shall be issued to one adult member of each family unit. The family unit may utilize the Corporation’s facilities upon payment of the membership bond and annual dues, as fixed by the Board of Directors. A family unit is defined as all persons of the same immediate family, including all persons financially dependent on the holder of the membership and/or persons permanently residing in the same household unit, excluding domestics and roomers. This membership includes parent(s) and dependent children under the age of 25. Any deviation from or interpretation of the above shall be decided upon by the Board of Directors. Single Membership – Invoice on Page 3: An existing family membership can be converted to a single membership upon qualification of the following eligibility requirements. Only an adult member (bond holder or spouse) in the family will continue as a single member. There are no children under the age of 18 in the member’s household. The member has been a member in good standing both financially and conforming to club rules for 3 or more years. Any deviation from or interpretation of the above shall be decided upon by the Board of Directors. Senior Citizen Membership – Invoice on Page 3: The club provides a 20% discounted membership off the price of a Family Membership for senior citizens with both adults being 60 or better. One membership shall be issued to one adult member of the family unit. This membership is valid for two adults only, and is not valid for a membership including children. If you are participating for the first time, you must send your payment with a copy of your driver's license or other positive age ID. If you have already qualified in a prior year, no proof of age is required. Any deviation from or interpretation of the above shall be decided upon by the Board of Directors. If you have any questions, please contact Cindy McNemar by email at [email protected] PRIOR to submitting your dues. NSJ communicates with its members via email. Those members who do not provide an email address are responsible for checking the website for club announcements and information; this can be done by going to the Public Library. It is the members’ responsibility to notify NSJ of email address changes. 1 Your dues or your bond must be mailed via US Post Office and postmarked no later than March 1st 2015 INVOICE North St. John’s Swim and Tennis Club, Inc. 2015 FAMILIES: Please Return the Form with your Payment Please check type of payment enclosed: ____ Family Member Dues ____ Family Member Dues with Late fee ____Nanny Fee for Summer $750 $825 $75 Please provide all information Initial here if any information has changed ________ Checks made payable to North St. John’s Swim and Tennis Club, Inc. – check # Name: Address: Name(s) and ages of Children /Dependent(s): E-Mail Address (s): Home Phone: Cell: Other: Waiver, Release, Assumption of Risk: I/we give our child(ren) between the ages of 12 – 18 years of age the permission to be at NSJ unsupervised. I/we hereby release, hold harmless, discharge and agree not to sue NSJ, its Club/Teams, Directors, Officers, Employees, Coaches, Officials, Volunteers, Agents, Sponsors, Advertisers, Owners/Lessors of Premises for all liability. Signature of Parent/Guardian Emergency Contact Phone Number 2 Your dues or your bond must be mailed via US Post Office and postmarked no later than March 1st 2015 INVOICE North St. John’s Swim and Tennis Club, Inc. 2015 SENIORS AND SINGLES: Please Return the Form with your Payment Please check type of payment enclosed: ____ Senior Citizen Dues ____ Senior Citizen Dues with Late fee ____ Single Membership Dues ____ Single Membership Dues with Late fee $600 $675 $500 $575 Please provide all information Initial here if any information has changed ________ Checks made payable to North St. John’s Swim and Tennis Club, Inc. – check # Name: Address: E-Mail Address (s): Home Phone: Cell: Other: If you have any dependents, please pay and submit the Family Membership Form on Page 2. 3 Your dues or your bond must be mailed via US Post Office and postmarked no later than March 1st 2015