Darley 2019 Season Dues Form for those using Paypal
Please fill out all information and then pay the amount you owe from your dues statement via the link to Paypal at the bottom of the form. You must come back here to click SUBMIT after you pay. Thank you!!
Email address *
Are you a Bondholder? *
Member Name and birthdate *
Your answer
Additional Family Members Names, relationship and Birthdates (list all, one per line; if single membership please write "none") *
Your answer
Mailing Address *
Your answer
Home Phone Number (if none, please write N/A) *
Your answer
Cell Phone Number (if none, please write N/A) *
Your answer
Additional Email addresses (if you want multiple added then list them below)
Your answer
Did you help at Clean-up Days? *
If Yes, which dates?
Please enter the Dues amount owed as listed on your dues statement or an updated amount if anything has changed. *
Your answer
Please enter the Maintenance Fee owed as listed on your dues statement. ($100 Non-Bond, $75 Bond or $0 if you helped at Clean Up Days) *
Your answer
Please enter the amount of $40 as a late fee if you are paying after May 1, 2019.
Your answer
By submitting your dues and becoming a member of Darley Swim Club, the payee and all people on the submitted membership agree to abide by the rules and regulations of the swim club and comply with all terms set forth in the Darley Swim Club By-Laws. A copy of the By-Laws can be obtained online at the swim club’s website. *
Required
You must come back to this window to click submit after you click below to pay. Thank you!!
Click here to pay via Paypal: https://www.PayPal.Me/darleyswimclub
Please note that PayPal will automatically add a fee if using a linked credit card, using a linked bank account is free.
A copy of your responses will be emailed to the address you provided.
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