Huntington Swim & Tennis Club 2020 Season Registration Form
Please fill out the following form for your Huntington Swim and Tennis Club 2020 Registration.

When paying with Zelle, Venmo or PayPal, please be sure to write the following as your Memo - "Membership Last Name" 2020 HSTC Dues

Please mail checks to:
HSTC
PO BOX 201
Naperville, IL 60566

Thank you,
HSTC Board
Email address *
Bondholder First Name *
Your answer
Bondholder Last Name *
Your answer
Spouse's Name
Your answer
Names & Ages of Children *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Additional Email Address
Your answer
Phone Number *
Your answer
Additional Phone Number
Your answer
Best Emergency Contact Name & Phone Number *
Your answer
Membership Level *
Types of Payment
Type of Payment *
Amount of Payment (please include fees as listed above) *
Your answer
Check Number (if paid using Zelle or any online form of payment, please type N/A) *
Your answer
Online Payment Confirmation Number (if paid by check, please type N/A) *
Your answer
Proxy Vote: Due to the current Stay-At-Home order that is in effect, this will constitute as a proxy vote on behalf of the proposed slated Board of Directors: Bill Palm, Mike Mutrie, Steve Cieckiewicz, Matthew Olsen, Dana Hall, Bridget Karnick, Jennifer Cupp, Pat Driscoll, Lani Lyons, and Betsy Schrubbe *
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