Application for Legacy Membership for the Nomahegan Swim & Tennis Club 1Applicant Information2Account Set Up3Household & Members4Legacy Information5Proposing Members6Signature This field is hidden when viewing the formAcct #The following information is furnished in connection with my application for membership in the Club:Applicant InformationName of Applicant* First Last Date of Birth* Month Day Year Occupation*Employer*Mobile Phone* Membership Portal AccountOnce your form is submitted a Waitlist account will be created for you. Your email address will be used as your login. Please create a password.Email* Password Enter Password Confirm Password Household AddressHousehold Address* Street Address City STATEAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code All persons added to a Nomahegan membership account must reside in the same household as the applicant.* I confirm all the members that I will list on this application are part of my household and reside at the address listed above. Additional MembersStart Additional MembersMember 2 First Last Date of Birth Month Day Year Relationship to ApplicantSpouseChild/DependentParentParent of SpouseOther family member residing in the householdMember 3 First Last Date of Birth Month Day Year Relationship to ApplicantSpouseChild/DependentParentParent of SpouseOther family member residing in the householdMember 4 First Last Date of Birth Month Day Year Relationship to ApplicantSpouseChild/DependentParentParent of SpouseOther family member residing in the householdMember 5 First Last Date of Birth Month Day Year Relationship to ApplicantSpouseChild/DependentParentParent of SpouseOther family member residing in the householdList any additional members, their date of birth and their relationship here:End Additional Members Legacy InformationPlease provide legacy name and approximate membership year(s) (i.e. John Smith 1990-1992)* Proposing MembersLetters of recommendation concerning you and your family are required by a proposer and a seconder, each being a voting member in good standing and accompanying your application. Both letters must accompany this application in order to be placed on the waitlist. Proposer* First Last Proposer Email* Proposer Letter of Recommendation*Max. file size: 24 MB. Seconder* First Last Seconder Email* Seconder Letter of Recommendation*Max. file size: 24 MB. I hereby apply for membership in the Nomahegan Swim & Tennis Club (the Club), Westfield, New Jersey. Please consider me for immediate membership, or if there is no vacancy, for a place on the waiting list. Two letters of recommendation from current members should also accompany this application in order for it to be processed. I understand that: Once approved, I must pay the required application fee of $200 before my application is considered complete. I can also pay the optional $300 Legacy Accommodation fee. These fees are non-refundable, even if I withdraw my name from the waiting list. if my application is accepted, and before I can become a member of the Club and entitled to the privileges thereof, I will be required to purchase a Certificate of Indebtedness of the par value then being offered by the Club. the terms and conditions of the Certificate of Indebtedness are set forth in and controlled by the By-Laws of the Club, as in effect and amended from time to time by the Club. before I can become a member of the Club and entitled to the privileges thereof, I must pay in full the annual dues in the amount required for the then current season, and I am required to subscribe in writing to the By-Laws and Rules and Regulations of the Club; in the event I do not comply with the foregoing requirements within ten (10) days of being requested to do so by the Club, this application and any approval thereof by the Club will automatically lapse and the Club may retain my application fee without any further obligation to me. in the event my application is accepted, annually thereafter, I shall on the form provided certify as to the relatives residing in my household who are requesting to be considered as members of the Club, their member classification and the total amount of annual dues to be payable in accordance with schedule of dues from time to time established by the Board of Governors; letters of recommendation concerning me and my family are required to be submitted by a proposer and a seconder, each being a voting member in good standing and accompanying my application. 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