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1st Household Member:
|__| New - $12
|__| Renew - $12
Additional Member:
|__| New - $8
|__| Renew - $8
Membership year
runs
Jan 1 to Dec 31.
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Amount Paid:$_________
Date: _________
Check
# _________
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The information you give in this application will be used for
Billiard Club business only.
Name of 1st household member:____________________________________
Street address:__________________________________________________
Telephone :__________________-Mail:_______________________________
Please print your e-mail address clearly
Full Community Association Number: |__| |__| |__| |__| |__| - |__| |__|
|__|
( x x x x x - x x x )
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(When applicable)
Name of 2nd household member:____________________________________
E-Mail address (if different):________________________________________
Please print your e-mail address clearly
Full Community Association Number: |__| |__| |__| |__| |__| - |__| |__|
|__|
( x x x x x - x x x )
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Fill out this application and deliver it in one of the following
methods:
Sun City Texas Billiard Club
2 Texas Drive
Georgetown, TX 78633
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Hand deliver this application with cash or a check made out to the SC
Billiard Club to a
club officer.
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Information concerning this application may be directed to club
Treasurer, Larry Ciupak at 281-827-9965 or
larryciupak@suddenlink.net .
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