Name/Business: _____________________                                                     _____________________                            Date of Birth                            _____________________                            Social Security # Spouse Name: ______________________                         ______________________                         Date of Birth                         ______________________                         Social Security # 1) Home Address           _________________________                    Street Name and Number           _________________________           City and Zipcode            2) Phone Number           _________________________           Home #           _________________________           Cell Phone #           _________________________           Work # (If Business Membership) 3) Email Address           _________________________           Personal Email           _________________________           Business Email (If Business Membership) 4) Business Address/ 2nd Residence           _________________________           Street Name and Number           _________________________           City and Zipcode 5) Dependents/Business Members           _________________________________           Name and Date of Birth           _________________________________           Name and Date of Birth
					Membership Application
			I would like a:  ________ Family Membership                         _________ Single Membership                         _________ Junior                         _________ Business Membership                         _________ Social Membership                                             _____ Dining and Golf                                             _____ Pool, Golf, and Dining                                             _____ Condo Pool
		I hereby apply for membership in the SILVER LAKE COUNTRY CLUB subject to the rules and regulations established by the Board of Directors and to the approval of the membership board.  If this application is accepted, I hereby agree to all the rules and regulations established by the Board of Directors.  I hereby agree to give written notice to the Board PRIOR to January 1st of the year in which I decide to resign from Silver Lake Country Club.  If written notice is not given, I agree that my membership shall automatically renewed on said date each year.  All accounts shall be paid on the 15th day of the next month for each billing period.  All late payments are subject to a 1.5% late charge. Signature of Canidate __________________________                                    __________________________                                   Date Signature of Spouse  ___________________________                                   ___________________________                                   Date Business Member Signature _______________________ Business Member Signature _______________________ Completed forms should be delivered to the Pro Shop of Silver Lake Country Club.  If you are mailing your application, please do so to:             Attention: New Membership             Silver Lake Country Club             7901 Greenbrier Circle Dr             Rockford, Michigan 49341