Network Social Singles, Inc.
Tucson, AZ
Tucson, AZ
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Network Social Singles, Inc.
Tucson, AZ
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Membership Application
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| Click here to get printer-friendly fillable form PDF |
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The
NETWORK
Social Singles, Inc.
P.M.B. # 241 * 4729 E. Sunrise Drive Tucson, Arizona 85718 Membership Application Please indicate whether a ( ) New or ( ) Renewing Application. The
annual dues schedule is as follows: The December
DISCOUNTED RENEWAL
Membership fee is $30
for
the next calendar year.
If you join in January, the fee is $36. If you join in February, the
fee is $33. If you join in March, the fee is $30 * April = $27. * May =
$24 . * June = $21. * July through December 31st
. = $18.
Indicate the date of Joining _________________and the amount $____________ paid. I
understand that the NETWORK
Social Singles, Inc. is a NOT FOR PROFIT social activities organization
for single
/ unmarried
adults. I warrant, by my signature on this application, that as of the
date of signing this application, I am in fact single and unmarried. I
also understand and agree that participation by myself and/or my
guest(s) at any NETWORK social event is voluntary and is always by
personal choice alone. NETWORK does not do background checks on
applicants or members. NETWORK does not confirm the accuracy of the
statement signed by each applicant. Anyone dating an applicant, member
or a guest does so at his/her own risk and discretion. Members should
exercise the same care and caution in establishing an individual or
close personal relationship with a NETWORK member as they would with
any other unknown person that they meet and want to get to know.
I
agree to hold the NETWORK
Social Singles, Inc., its officers and all of its members and guests
harmless from liability asa result of any action or inaction at a
NETWORK sponsored activity. I further agree to be responsible for the
conduct and or actions of any of my guests at a NETWORK function. I
understand and accept this limitation of liability and that my
acceptance of these limitations is a condition of membership and
attendance at any NETWORK sponsored function or activity.
Periodically,
the NETWORK publishes and distributes a list of its membership and
their contact information to its members. By providing the
below personal contact information, I
authorize other current members of the NETWORK to use this information
to contact me.
Furthermore, I agree not to provide this information to anyone who is
not a current member of the NETWORK, or for any
commercial contact purposes.
I
DO NOT WANT the following indicated information published in any roster
or list of information that is distributed to NETWORK members: ( )
Address, ( ) Telephone # ( ) e-mail address.
Name:
_____________________________ e-mail address: ______________________
Address:
___________________________ City: ____________, AZ, Zip:__________
Home
Phone: (______) ______-_________ Work Phone: (______) ______-_________
Applicant
Signature: _______________________________ Date: __________________
I am interested in serving on the following Committees: ( ) Activities – ( ) Hospitality – ( ) Publication & Computer operations – ( ) Board of Directors The following types of activities interest me: ( ) Biking - ( ) Board Games - ( ) Boating - ( ) Bowling - ( ) Camping - ( ) Cards - ( ) Concerts ( ) Dances - ( ) Dining Out - ( ) Fishing - ( ) Golf - ( ) Hiking - ( ) House Parties - ( ) Movies - ( ) Picnics - ( ) Potlucks - ( ) Swimming ( ) Sporting Events - ( ) Tennis - ( ) Theater - ( ) Travel - ( ) Other: _______________________________________________________________ ( ) I have a home or clubhouse that could be used for Network sponsored activities. ( ) I have access to a pool that could be used for Network pool parties. Please print when completing this application. Attach a check for your dues, according to the above schedule. Mail the application and check to the address at the top of this page. We look forward to seeing you and your participation in the many varied activities of the Network 10/1/03 |