2015 Membership Rates and Registration Form - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Mail-In Registration Form 2015 Membership Last Name: ________________________ First Name: _________________ Email Address: _____________________ Phone #: __________________________ Mailing Address: ______________________________________________________ New Member: Y N Please select the type of membership: _____ Family Membership ($620.00) ** _____ 1 Senior Membership ($ 185.00) + Tax = $663.40 + Tax = $197.95 _____ Babysitter Add-On ($50.00) _____ 2 Senior Memberships ($320.00) + Tax = $53.50 + Tax = $342.40 _____ Individual Membership ($225.00) _____10 pack Guest Passes ($60.00) + Tax = $240.75 + Tax = $64.20 _____15 Swim ($175.00) + Tax = $187.25 ** Payment plan available for Family Memberships only, of 5 equal payments of $132.68 each (CHECKS ONLY PLEASE) with first payment due by January 15th and the last by May 15th. All membership fees for payment plan must be received no later than May 15th 2015 Any questions, please contact Joan at 513-325-4647 Please make checks payable to Philipps Swim Club or if using credit card: Credit Card # ____________________ Exp Date: _____ Total Amount Enclosed $_________ Referred by: ____________________ Mail to: Philipps Swim Club, PO Box 58054 Cincinnati, Ohio 45258-0054
Posted on: Thu, 20 Nov 2014 02:01:44 +0000
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