Surreywood Swim & Tennis Surreywood Swim Club Membership Form - 2018
Please fill out the information on this page. Payment can be made in full or in payments plan (add $15 processing fee). Memberships are not active until payment in full has been received and membership details have been reviewed and approved.
Name *
Billing Name ( Last, First)
Your answer
Alt. Name
Enter additional family names if applicable
Your answer
Address *
Specify your physical residence address
Your answer
E-mail *
Your answer
Newsletter
Would you like to receive The Splash pool newsletter?
Newbie!
New Member Sign Up Bonus: 4 free guest passes + $10 snack bar credit included! (For members who have not joined the pool in the past 5+ years).
Referring Member
If referred by someone, please credit who we can thank here.
Your answer
Phone *
Enter your Primary Home or Mobile Phone number and specify phone type
Your answer
Source?
How did you find us?
Volunteering
Are you interested in volunteering?
Members *
Enter all member names (including yourself) requiring access to the pool by name and age (One name per line)
Your answer
Membership
For membership type details go to http://surreywood.org/membership/ . If Selecting SCA discount must be active 2018 member.
-$50 I am a SCA or Initiation Fee member?
-$25 I am a senior (62+)
-$75 I am a senior (62+) and an SCA/Initiation Member
I am a Surreywood Swim Club member, no discount.
FAMILY (same household) $445
EMPTY NESTER (w/visiting family) $400
COUPLE $325
INDIVIDUAL $250
Passes
For a description of pass types, click: http://surreywood.org/membership/
Passholders
Name(s) of Sitter, Child Care or Sponsored Individuals
Your answer
FOP
Friends of Pool Donation. Submit an optional donation to the pool, every little bit helps.
Installment
If using a payment plan, please enter the installment payment amount (divide the whole number of months remaining through May 1, eg Dec 1 - May 1 is 6, please remember to add a $15 one time processing fee)
Your answer
Total
What is the total sum of your membership? Plus passes, donations etc.
Your answer
Payment *
Payment in full is required for active membership. If using a payment plan, add a $15 one time processing fee. Payments will be divided by number of months remaining to May 1 *** If you select On Line in the drop down below, we will email you an invoice in 1-3 business days, if you prefer to send in your membership payment via postal mail to PO Box 74303, North Chesterfield, VA 23236 or placed in Drop Box at 7714 Lakeforest Drive, N. Chesterfield, VA 23235
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