LANCASTER GOLF CLUB MEMBERSHIP APPLICATION

Size: px
Start display at page:

Download "LANCASTER GOLF CLUB MEMBERSHIP APPLICATION"

Transcription

1 LANCASTER GOLF CLUB MEMBERSHIP APPLICATION APPLICANT INFORMATION Primary Member Name: Current address: MEMBERSHIP TYPE & BILLING OPTION Membership Type (circle): Individual Family Weekday Individual Student Weekday Couple Billing Option (circle): Monthly Draft 1 st Monthly Draft 15 th Quarterly Monthly Credit Card Charge 1 st Would you like to receive bills/receipts via ? (circle): Yes No EMERGENCY CONTACT Name: Relationship: Home Phone: ( ) Work Phone: ( ) Cell Phone: ( ) SPOUSE INFORMATION IF JOINT MEMBERSHIP Name: Gender (circle): Male or Female of birth: / / Cell Phone: ( ) Work Phone: ( ) Current employer: SIGNATURES I further agree to release, hold harmless, defend, and/or indemnify Leroy Springs & Company, Inc. (LSC), its directors, officers, employees, and agents, from any and all liability, claims, demands, actions, and causes of actions whatsoever arising out of or related to any losses of personal property, damage or any bodily injuries incurred or suffered by persons listed on this application, while on properties owned by LSC, or when participating in programs sponsored or otherwise organized by LSC. I hereby grant LSC the right and permission to take and use photographs and/or sound image/recordings of any person listed on this application to use for the promotion of advertising and marketing activities of LSC. I understand that no monetary payment will be made for such uses. I release LSC from all claims, for any cause of action arising out of taking and/or use of such images or recordings. Signature of applicant: OFFICE USE ONLY : [ ] APPROVED HH# RATE $ /MONTH DATE LETTER SENT BY: DATE:

2 LANCASTER GOLF CLUB MEMBERSHIP APPLICATION Child1 Name: FOR FAMILY MEMBERSHIP PLEASE LIST CHILDREN Child2 Name: Child3 Name: Child4 Name: Child5 Name:

3 Lancaster Golf Club Membership Rules and Regulations A. MEMBERSHIP REQUIREMENTS: 1. Lancaster Golf Club reserves the right to limit memberships, and to give preference to those who live and work within Lancaster and surrounding counties. 2. Memberships at Lancaster Golf Club are available under multiple categories. For the purpose of Family Memberships, membership includes spouse and unmarried dependent children attending school or in the military and under the age of 25. Evidence will be required of a full time student for all high school graduates and for military dependent membership. B. MEMBERSHIP PRIVILEGES: 1. The privileges hereby conferred on a membership include only the use of the golf course operated by LSC d/b/a Lancaster Golf Club, 1821 Springs Club Road, Lancaster, SC 29720, subject to these rules and regulations. A membership is strictly of a non-proprietary nature and does not confer upon the holder thereof any ownership of interest in the land, improvements or assets of the Lancaster Golf Club. The holder of membership shall not be subject to any assessments or any liabilities of Lancaster Golf Club. Any other facilities or services, which may be available at Lancaster Golf Club, may only be used by holder of membership upon payment of customary charges set forth for such services at facilities provided. 2. Members have discounted privileges at LSC sister courses, including Chester Golf Club, Fort Mill Golf Club and Springfield Golf Club. Fees are set on an annual basis; date and time restrictions will apply. C. RESIGNATION: 1. Any member shall be permitted to resign at any time by tendering his or her notice of resignation in writing to Leroy Springs & Co. Such resignation will be effective on the last day of the month in which the resignation was tendered and dues will be paid accordingly. Members who resign their membership will not be considered for reinstatement for 12 months following such resignation. 2. Suspension of memberships for medical reasons may be approved by the Director of Golf on a case-by-case basis for members in good standing. Members with medical suspensions will not be liable for dues accrued during such suspension. D. PAYMENT OF DUES AND INDEBTEDNESS: 1. Dues shall be due and payable monthly in advance together with any indebtedness incurred by the member for any merchandise purchased or facilities or services used, or late fees during any prior period. If the payment of such dues and all such indebtedness is not made on or before the fifth day of the month, LSC at its discretion may suspend or cancel the membership of any such delinquent member. Cancellation of membership shall not relieve such delinquent member from liability for all monthly dues incurred prior to date of cancellation of such membership, or for liability for all indebtedness owed to LSC. E. CANCELLATION OF MEMBERSHIP FOR CAUSE: 1. In addition to cancellation of membership pursuant to the provisions of ARTICLE A and ARTICLE D above, membership may be cancelled by LSC at its sole discretion in the event of the flagrant violation by a member of these rules and regulations, conduct detrimental to the use of the golf course by others, and/or failure to abide by rules and regulations of the golf course. F. OBSERVANCE OF COURSE RULES & MISCELLANEOUS: 1. It is understood that Lancaster Golf Club may fix from time to time rules and regulations concerning the use of the golf course, the conduct of players and reasonable limitations required on play on the golf course during specific days, such as specific days set aside for male golfers or women golfers and restricted play at certain times by reason of tournaments scheduled by the golf course. All members shall abide by all such rules and regulations as shall, from time to time, be fixed by LSC. 2. It is the duty of each Member using the facilities to familiarize him or herself with and observe the rules of etiquette as required in the rules of the U.S.G.A. 3. Members recognize that it is the responsibility of all golfers, including members, to care for the course. Divots shall be filled with material provided on tees and in carts; ball marks are to be repaired on greens; and bunkers are to be raked after use. 4. While using the Lancaster Golf Club and/ or its Facilities for any reason, members shall not display rude or offensive behavior. When a member is using or occupying Club Facilities, the Lancaster Golf Club shall have the sole right to adjudge behavior as rude or offensive using generally accepted standards of decorum. 5. It is understood that play at the Lancaster Golf Club is not limited to the holders of membership and is open for public play. Lancaster Golf Club, to the extent possible in the orderly operation of its golf course, shall endeavor to give starting time preference to members of the course but it is specifically understood that any such preference shall be entirely at the discretion of course management. G. CHANGES: 1. Lancaster Golf Club reserves the right to make necessary changes and updates to these Rules and Regulations at any time. H. NOTICES: 1. All written notices required to be given to a member may be given either by delivering such notice personally to a member or by placing such notice in the United States mail, postage prepaid, addressed to member at the mailing address shown on member s application for membership. Alternatively, such notice may be sent by addressed to member at the address shown on member s application for membership, as updated by the member with the golf club. I have received and agree to abide by these Rules and Regulations: Applicant

4 LEROY SPRINGS & COMPANY, INC. AUTOMATIC DRAFT PROGRAM (ACH FORM) Leroy Springs & Company, Inc. is pleased to offer you the preauthorized payment plan service for your convenience. Your monthly loan payment will be automatically deducted from your checking or savings account each month. This plan allows us to better service your account. Instructions: Complete the Automatic Debit Authorization Form on this page and make a copy of the completed authorization form for your records. If you are using a checking account for automatic debit, you must attach a voided check (not a deposit slip) from that account. If you are using a savings account, you must provide your bank ACH routing number and your savings account number. The bank ACH routing number can be obtained from your bank. In order for your request to be processed, you must: Forms can be mailed to: - Complete this form - all items must be completed. Leroy Springs & Company, Inc. - Submit a voided check to draft your checking account. P.O. Box Provide the bank ACH routing number. Fort Mill, SC Attention: Accounting AUTOMATIC DEBIT AUTHORIZATION I authorize Leroy Springs & Company, Inc. (LSC) to initiate electronic debit entries and to initiate, if necessary, credit entries and adjustments for any debit entry errors to my checking account or savings account indicated below. I authorize the financial institution named below to debit and/or credit these entries from my account. These payments will be debited each month as indicated below. This authorization is to remain in effect until I notify LSC in writing of its termination. To cancel this automatic debit, I must provide written notice of cancellation to LSC not less than 10 days prior to the next scheduled automatic draft. LSC may terminate this payment plan upon notice of two (2) non-sufficient funds transactions. LSC reserves the right to cancel this agreement with prior written notice. LSC will notify me of any changes in the dollar amount debited from my account. LSC shall not be liable for losses caused by the financial institution's failure to act in accordance to this request. Customer Name (Please Print) Home Address City State & Zip Code Location: Chester Golf Club ( ) Fort Mill Golf Club ( ) Recreation Complex ( ) Lancaster Golf Club ( ) Springfield Golf Club ( ) ASC Greenway ( ) Fort Mill/Springfield Golf Club Joint ( ) Type of Account to be Drafted (Check One): ( ) Checking ( ) Savings Transfer (Check One): ( ) 1st ( ) 15th Note: If the 1st or 15th falls on a weekend or holiday, the automatic debit will be processed on the next business day. Financial Institution Name ABA Transit Routing Number (9 Digits) Account Number Customer Signature Account Holder Signature (if different from Customer) Form

5 LEROY SPRINGS & COMPANY, INC. GOLF MEMBERSHIP - AUTOMATIC CREDIT CARD PAYMENT PROGRAM Please complete this form if you would like to have your monthly golf membership charged to your credit card. Instructions: Complete the Automatic Credit Card Payment Authorization Form on this page and make a copy of the completed authorization form for your records. Forms can be dropped off at the golf course or mailed to: Leroy Springs & Company, Inc. P.O. Box 1209 Fort Mill, SC Attention: Golf Membership AUTOMATIC CREDIT CARD PAYMENT AUTHORIZATION I authorize Leroy Springs & Company, Inc. (LSC) to initiate charges to my credit card account indicated below. I authorize the credit card company named below to accept these charges to my credit card account. These payments will be charged as indicated below. This authorization will start based upon the date indicated below. To cancel this automatic payment, I must provide written notice of cancellation to LSC not less than 10 days prior to the next scheduled payment. LSC may terminate this payment plan upon notice of two (2) declined transactions. LSC reserves the right to cancel this agreement with prior written notice. LSC will notify me of any changes in the dollar amount charged to my account. LSC shall not be liable for losses caused by the credit card company's failure to act in accordance to this request. Charges will be processed on the first business day of the month. Golf Course (Check One): ( ) Chester ( ) Lancaster Member Name (Please Print) Telephone # Start date for this credit card authorization: Type of Credit Card to be Charged (Check One): ( ) Visa ( ) Mastercard ( ) Discover Credit Card Number Expiration (mm/yy) Customer Signature

Your Passion is Our Obsession. Membership Packet

Your Passion is Our Obsession. Membership Packet Your Passion is Our Obsession Membership Packet **Voted Top 10 Daily Fee Golf Course in DFW** **Voted Top 5 Luxury Course** **Voted Best Pro Shop** **Voted Best Cart Girls** **Voted Best Clubhouse** **Voted

More information

QUEENSTOWN HARBOR INDIVIDUAL MEMBER ENROLLMENT FORM 2015

QUEENSTOWN HARBOR INDIVIDUAL MEMBER ENROLLMENT FORM 2015 QUEENSTOWN HARBOR INDIVIDUAL MEMBER ENROLLMENT FORM 2015 PLEASE PRINT CLEARLY First Name: M.I.: Last Name: Address: City: State: Zip Daytime Phone: ( ) - E-mail address : Evening Phone: ( ) - D.O.B. Queenstown

More information

Limited Memberships Summary of Benefits

Limited Memberships Summary of Benefits 2016 Golf Membership Summary of Benefits $2,100.00 Unlimited golf and cart fees Plus... 10% discount on food items in Kathleen s Restaurant and Putters Pointe Cafe Special membership rates for additional

More information

Announcing. Kings Creek Country Club Winter Trial Program

Announcing. Kings Creek Country Club Winter Trial Program Announcing. Kings Creek Country Club Winter Trial Program Have you ever wondered what it would be like to belong to a Country Club? Now, for the first time ever, Kings Creek is offering Winter Trial Memberships.

More information

Regular Membership Membership is subject to payment of membership dues and compliance with rules and regulations.

Regular Membership Membership is subject to payment of membership dues and compliance with rules and regulations. Welcome to Oak Valley! Experience what the legendary Arnold Palmer brings to golf course design. Discover the long, rolling fairways and luscious bent grass greens that wander through an abundant display

More information

Rules and Regulations

Rules and Regulations Rules and Regulations Effective September 1, 2012 2 I. Overview... 3 II. Definitions... 3 III. Access & Identification... 4 IV. Hours of Operation... 4 V. Special Rates... 4 A. Student Privileges... 4

More information

2016 SPECIAL MARKETING PROMO Certificate Membership Application and Agreement

2016 SPECIAL MARKETING PROMO Certificate Membership Application and Agreement 2016 SPECIAL MARKETING PROMO Certificate Membership Application and Agreement Certificate Membership Application Applicant Information Applicant s Name: City State Zip Code Date of Birth / / Home Phone

More information

In addition, Butterfield Line can help you manage those unexpected expenses, like home and auto repairs or the replacement of major appliances.

In addition, Butterfield Line can help you manage those unexpected expenses, like home and auto repairs or the replacement of major appliances. Butterfield Line helps you finance major personal expenses with a revolving credit line that is supported by the equity in your home. Whether your financial focus is on education expenses, paying for a

More information

2016 MEMBER APPLICATION PACKAGE

2016 MEMBER APPLICATION PACKAGE 2016 MEMBER APPLICATION PACKAGE SPECIAL OFFERS * MEMBER APPRECIATION DISCOUNT * Prior Year Members in Good Standing will Receive a 5% Discount to be Applied Towards the Golf Only Membership portion of

More information

Pennsylvania Turnpike Commission E-ZPass Commercial Vehicle Terms and Conditions

Pennsylvania Turnpike Commission E-ZPass Commercial Vehicle Terms and Conditions SM Pennsylvania Turnpike Commission E-ZPass Commercial Vehicle Terms and Conditions These terms and conditions, along with the application, constitute your E-ZPass agreement made and entered into by and

More information

2016 MEMBERSHIP PLAN

2016 MEMBERSHIP PLAN 2016 MEMBERSHIP PLAN SECTION 1 Membership Privileges 1.1 DESCRIPTION OF MEMBERSHIP PRIVILEGES This Membership Plan (the Plan ) describes an opportunity for Members to acquire a non-refundable, non-equity

More information

2014-2015 Golf Memberships at Red Bridge Golf & CC

2014-2015 Golf Memberships at Red Bridge Golf & CC 2014-2015 Golf Memberships at Red Bridge Golf & CC Family: Monthly Dues $199 Playing privileges for husband, wife and unmarried children under the age of 23 (max. 2) Cart fee required. Individual: Monthly

More information

STATE BANK OF SPRING HILL INTERNET BANKING AGREEMENT WWW.SBSH-KS.COM Internet banking is not available to children under 18 years of age.

STATE BANK OF SPRING HILL INTERNET BANKING AGREEMENT WWW.SBSH-KS.COM Internet banking is not available to children under 18 years of age. STATE BANK OF SPRING HILL INTERNET BANKING AGREEMENT WWW.SBSH-KS.COM Internet banking is not available to children under 18 years of age. PLEASE READ THIS AGREEMENT CAREFULLY AND KEEP A COPY FOR YOUR RECORDS.

More information

Checking Account Overdraft Agreement

Checking Account Overdraft Agreement Checking Account Overdraft Agreement Account Name Account Number Share # This Overdraft Agreement ("Agreement") describes the circumstances when we (the Credit Union) will pay overdrafts in your checking

More information

HERNANDO COUNTY INFORMATION SERVICE (HCIS) 7321 Sunshine Grove Rd. Brooksville, FL FAX:

HERNANDO COUNTY INFORMATION SERVICE (HCIS) 7321 Sunshine Grove Rd. Brooksville, FL FAX: HERNANDO COUNTY INFORMATION SERVICE (HCIS) 7321 Sunshine Grove Rd. Brooksville, FL 34613 352-799-1971 FAX: 352-799-4350 APPLICATION FOR PARTICIAPTION IN A BOARD- OWNED MLS I, Qualifying Broker of Record

More information

NEW STUDENT REGISTRATION

NEW STUDENT REGISTRATION NEW STUDENT REGISTRATION High Performance: Academy Prep: Early Childhood: $20.00 registration fee (includes 2 Academy T-shirts) $20.00 registration fee (includes 2 Academy T-shirts) $10.00 registration

More information

Tuition Payment Plan Loan Agreement & Auto Debit Form

Tuition Payment Plan Loan Agreement & Auto Debit Form Tuition Payment Plan Loan Agreement & Auto Debit Form This Credit Agreement, by and between the American School of Dental Assisting (Lender) and (Borrower) is effective this day of, 20,the first day on

More information

JUDICIARY ACCOUNT CHARGE SYSTEM PARTICIPATION AGREEMENT

JUDICIARY ACCOUNT CHARGE SYSTEM PARTICIPATION AGREEMENT JUDICIARY ACCOUNT CHARGE SYSTEM PARTICIPATION AGREEMENT PROGRAM DESCRIPTION The Judiciary Account Charge System ( JACS ) enables a participant (herein defined as an individual or business entity, by and

More information

MOBILOIL FCU 1810 N Major Dr Beaumont, TX 77713 CREDIT CARD AGREEMENT AND DISCLOSURE STATEMENT

MOBILOIL FCU 1810 N Major Dr Beaumont, TX 77713 CREDIT CARD AGREEMENT AND DISCLOSURE STATEMENT MOBILOIL FCU 1810 N Major Dr Beaumont, TX 77713 CREDIT CARD AGREEMENT AND DISCLOSURE STATEMENT Annual Percentage Rate (APR) for purchases and cash advances 2.99% fixed rate (purchases and/or cash advances)

More information

Subscriber Service Sign-up Packet

Subscriber Service Sign-up Packet Subscriber Service Sign-up Packet Description: Apply online for oversized/overweight permits from the Rhode Island Division of Motor Vehicles and Department of Transportation. To apply for permits your

More information

VAULT HEALTH AND FITNESS, LLC MEMBERSHIP AGREEMENT

VAULT HEALTH AND FITNESS, LLC MEMBERSHIP AGREEMENT VAULT HEALTH AND FITNESS, LLC MEMBERSHIP AGREEMENT Full Name: Male Female Home Address: City: State: ZIP: Date of Birth: / / Home Phone: ( ) Cell Phone: ( ) Alternate Phone: ( ) Email Address: The undersigned

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

Visa Debit Card Agreement and Disclosures

Visa Debit Card Agreement and Disclosures www.starone.org Visa Debit Card Agreement and Disclosures 1. Definition of Parties 2. Agreement Acceptance 3. Sign Your Card 4. Account Access 5. Electronic Check Transactions 6. Illegal or Unlawful Transactions

More information

IRA Optional Services/Change Request Form

IRA Optional Services/Change Request Form IRA Optional Services/Change Request Form This form can be used to establish or change account options for an existing Individual Retirement Account (IRA) such as Automatic Investment Plan (AIP), Systematic

More information

Generations Community Federal Credit Union 9311 San Pedro Ave San Antonio, TX 78216

Generations Community Federal Credit Union 9311 San Pedro Ave San Antonio, TX 78216 Generations Community Federal Credit Union 9311 San Pedro Ave San Antonio, TX 78216 ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract

More information

Visa Classic and Gold

Visa Classic and Gold Visa Classic and Gold Enjoy con venience and security with Visa. Butterfield Visa Credit Cards. Put the ultimate in purchasing power at your fingertips, with a Visa Credit Card from Butterfield. Offering

More information

ENGINEERS FLYING CLUB OKLAHOMA CITY, OKLAHOMA BYLAWS Revised 2/1/2012

ENGINEERS FLYING CLUB OKLAHOMA CITY, OKLAHOMA BYLAWS Revised 2/1/2012 ENGINEERS FLYING CLUB OKLAHOMA CITY, OKLAHOMA BYLAWS Revised 2/1/2012 ARTICLE I: MEMBERSHIP Section A. General. The number of active members of the club will be managed by the Board in the best interest

More information

This Agreement shall be governed by and construed in accordance with the laws of the State of Wyoming.

This Agreement shall be governed by and construed in accordance with the laws of the State of Wyoming. Online Agreement: Online Banking Agreement. By submitting this form, you agree that you have read and agree to all terms herein. If you would like to talk with us about your enrollment, please call 307-732-BOJH

More information

Internet Banking Agreement and Disclosure

Internet Banking Agreement and Disclosure Internet Banking Agreement and Disclosure This Internet Banking Agreement and Disclosure ("the Agreement") explains the terms and conditions governing the basic Internet banking services and bill payment

More information

Debit MasterCard BusinessCard Application

Debit MasterCard BusinessCard Application Debit MasterCard BusinessCard Application Company Name: COMPANY INFORMATION: (Please Print) Date: Street Address: City: State: Zip: Mailing Address: City: State: Zip: Contact Person: Phone Number: Tax

More information

Visa Credit Card Agreement

Visa Credit Card Agreement Visa Credit Card Agreement 1. INTRODUCTION. This VISA Credit Card Agreement (Agreement) and the Account Disclosures accompanying this Agreement will govern your Platinum VISA or Platinum VISA with Rewards

More information

Vectra Bank Colorado Personal Electronic External Transfer Enrollment Form

Vectra Bank Colorado Personal Electronic External Transfer Enrollment Form Vectra Bank Colorado Personal Electronic External Transfer Enrollment Form By completing this form, you will be able to electronically transfer funds from your personal checking or savings account at Vectra

More information

CONVERSION OF GROUP TERM LIFE INSURANCE. Subject to the terms of the Group Policy, as described in your group insurance certificate:

CONVERSION OF GROUP TERM LIFE INSURANCE. Subject to the terms of the Group Policy, as described in your group insurance certificate: CONVERSION OF GROUP TERM LIFE INSURANCE Subject to the terms of the Group Policy, as described in your group insurance certificate: (1) you may apply for an individual, permanent life insurance policy

More information

Visa Credit Card Cardmember Agreement

Visa Credit Card Cardmember Agreement Visa Credit Card Cardmember Agreement In this Agreement the words You, Your and Yourself mean each and all of those who apply for the card or who sign this Agreement. Card means the Visa Credit Card and

More information

(251) 947-1981 (251) 990-9991 (251) 970-2222 (251) 964-5091

(251) 947-1981 (251) 990-9991 (251) 970-2222 (251) 964-5091 IT S EASY TO MAKE THE SWITCH TO OUR LIBERTY ACCOUNTS! Our Customer Service Representatives are available to help with this process. Just stop into one of our branches in,,, or! OUR CHECKING ACCOUNTS Liberty

More information

e.service Merchant Services

e.service Merchant Services e.service Merchant Services With Debit Card Filter for Pre-Bankruptcy Credit Counseling Payments 1) Return the following: APPLICATION INSTRUCTIONS PROGRAM CHARGES CREDIT APPLICATION INCLUDE COPY OF 501(c)(3)

More information

Fuel Express Commercial Fleet Card Application

Fuel Express Commercial Fleet Card Application Fuel Express Commercial Fleet Card Application 1. Complete all parts of Section 1. 2. Read the attached Commercial Fleet Card Terms and Conditions ( Agreement ) and keep it for your records, along with

More information

SECURED CREDIT CARD AGREEMENT

SECURED CREDIT CARD AGREEMENT + SECURED CREDIT CARD AGREEMENT (Personal Account) By requesting or accepting a Secured MasterCard Credit Card account ( Credit Card account or Account ) with Bank of the West, you agree to be bound by

More information

Credit Card Agreement

Credit Card Agreement Credit Card Agreement 1. INTRODUCTION. This Agreement and the disclosure provided to you at the time you opened your account ( The Disclosure ) cover your VISA Credit Card account ( Account ), issued by

More information

PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE RESELLER AGREEMENT. PayMeNow.com Toll Free (800) 223-4097

PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE RESELLER AGREEMENT. PayMeNow.com Toll Free (800) 223-4097 PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE PAGE 1 OF 7 This Reseller Agreement ( Agreement ) is made effective as of the date set forth below by and between Applied Merchant Systems, Inc.

More information

OnPoint Community Credit Union. Visa Credit Card Agreement

OnPoint Community Credit Union. Visa Credit Card Agreement OnPoint Community Credit Union Visa Credit Card Agreement ONPOINT COMMUNITY CREDIT UNION VISA CREDIT CARD AGREEMENT 1. INTRODUCTION. This Agreement covers your Platinum VISA or Platinum VISA with Rewards

More information

CREDIT CARD AGREEMENT AND DISCLOSURE

CREDIT CARD AGREEMENT AND DISCLOSURE M-115600 CREDIT CARD AGREEMENT AND DISCLOSURE This Agreement establishes the terms and conditions of your credit card agreement with the Credit Union. In this agreement, the words you and your mean any

More information

3.90% introductory APR for six months.

3.90% introductory APR for six months. Important Account Terms Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases and Balance Transfers 3.90% introductory APR for six months. APR for Cash Advances 17.99% How to Avoid

More information

Personal Banking. Visit any of our convenient locations or visit us online at www.fsbank.com for more information.

Personal Banking. Visit any of our convenient locations or visit us online at www.fsbank.com for more information. Personal Banking We are committed to making your move to First Security quick and simple. Just follow the steps below, print the forms you need, and you re ready to realize all the benefits of Banking

More information

COMPUTER AND INFORMATION TECHNOLOGY MANAGED SERVICES AGREEMENT

COMPUTER AND INFORMATION TECHNOLOGY MANAGED SERVICES AGREEMENT COMPUTER AND INFORMATION TECHNOLOGY MANAGED SERVICES AGREEMENT This Computer and Information Technology Services Agreement is made as of the day of, between Crown Networking Consultants, Inc. (CNC Inc.),

More information

Juliette Falls Golf Club. Membership Packet

Juliette Falls Golf Club. Membership Packet Juliette Falls Golf Club An Award Winning Golf Course Community Voted Top 5 New Courses in Florida by Golf Digest Ranked Top 10 New Private Courses by Golf Magazine Ranked 12 th Best Courses in Florida

More information

Switch To Walworth State Bank It s Quick and Easy...

Switch To Walworth State Bank It s Quick and Easy... Switch To Walworth State Bank It s Quick and Easy... Just print the forms below and follow these instructions. The forms can also be filled out online and then printed. Step 1: Complete our New Account

More information

ELECTRONIC FUNDS TRANSFER AGREEMENT

ELECTRONIC FUNDS TRANSFER AGREEMENT ELECTRONIC FUNDS TRANSFER AGREEMENT This agreement is between the Credit Union Member (designated as you, your ) and Unified Communities Federal Credit Union (designated as we, us, our ): Dear Member:

More information

Visa Debit Business Card

Visa Debit Business Card Visa Debit Business Card MAIL THIS FORM OR BRING IT TO ANY VALLEY BANK & TRUST BRANCH BUSINESS NAME ON ACCOUNT ACCOUNT NUMBER NOTE: If two authorized signatures are required on the account, both parties

More information

Capaha Connect Business Online Banking Application and Agreement

Capaha Connect Business Online Banking Application and Agreement Capaha Connect Business Online Banking Application and Agreement 1. Client Information: Company Name: Company Phone #: Address: Company Tax ID #: City, State, Zip: Company Website: 2. Company Contact And

More information

CREDIT AGREEMENT/APPLICATION

CREDIT AGREEMENT/APPLICATION JSC Terminal, LLC, dba Midwest Terminal PO Box 959 / 725 N. 5 th Street Paducah, KY 42002-0959 Phone: (270) 442-0362 / Fax: (270) 444-6224 Legal Name of Business/Proprietor: Street Mailing Address (If

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

Switch Kit. Make the switch to Acadia Federal Credit Union. Here s how you do it

Switch Kit. Make the switch to Acadia Federal Credit Union. Here s how you do it Make the switch to Don t wait any longer! If the only reason you haven t opened an checking account is because it s a hassle to close your old one, our hassle-free has been designed to make the switch

More information

KBR CREDIT UNION VISA PLATINUM / VISA PLATINUM REWARDS CREDIT CARD ACCOUNT AGREEMENT

KBR CREDIT UNION VISA PLATINUM / VISA PLATINUM REWARDS CREDIT CARD ACCOUNT AGREEMENT KBR CREDIT UNION VISA PLATINUM / VISA PLATINUM REWARDS CREDIT CARD ACCOUNT AGREEMENT This Visa Credit Card Account Agreement ( Agreement ) and the Account Disclosures ( Account Disclosure ) given to you

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

VISA CARDHOLDER AGREEMENT

VISA CARDHOLDER AGREEMENT VISA CARDHOLDER AGREEMENT In this agreement, the words you and your mean the cardholder or holders and anyone else you authorize to use the credit card account. The words we, us or our mean Eastman Credit

More information

Wons Background Investigations Certification Checklist

Wons Background Investigations Certification Checklist Wons Background Investigations Certification Checklist Please fax, email, or mail the following items to: Wons Background Investigations, LLC 5639 Executive Circle Little Suamico WI 54141 Phone: 920-826-2335

More information

Request for Proposals

Request for Proposals Will County Treasurer Request for Proposals Merchant Services, ACH, and Online Bill Payment Brian S. McDaniel 3/5/2014 Introduction General Rules The Will County Treasurer will consider proposals from

More information

Electronic Funds Transfer Agreement and Disclosures

Electronic Funds Transfer Agreement and Disclosures Electronic Funds Transfer Agreement and Disclosures ELECTRONIC FUNDS TRANSFER AGREEMENT AND DISCLOSURES Agreement 1. Issuance of Card or Personal Identification Number. In this Agreement and Disclosures

More information

VERITY CREDIT UNION BUSINESS PLATINUM VISA CREDIT CARD AGREEMENT

VERITY CREDIT UNION BUSINESS PLATINUM VISA CREDIT CARD AGREEMENT I. INTRODUCTION. VERITY CREDIT UNION BUSINESS PLATINUM VISA CREDIT CARD AGREEMENT This Agreement covers your Business Platinum VISA Credit Card, issued by Verity Credit Union ( Lender ). In this Agreement

More information

EECU PO Box 1777, Fort Worth, TX 76101-1777 CREDIT CARD AGREEMENT AND DISCLOSURE STATEMENT FOR MY MASTERCARD ACCOUNT

EECU PO Box 1777, Fort Worth, TX 76101-1777 CREDIT CARD AGREEMENT AND DISCLOSURE STATEMENT FOR MY MASTERCARD ACCOUNT EECU PO Box 1777, Fort Worth, TX 76101-1777 CREDIT CARD AGREEMENT AND DISCLOSURE STATEMENT FOR MY MASTERCARD ACCOUNT TERMS USED IN THIS AGREEMENT: This Agreement and Disclosure Statement covers my Platinum

More information

ZIONS BANK A division of ZB, N.A. Member FDIC

ZIONS BANK A division of ZB, N.A. Member FDIC ZIONS BANK A division of ZB, N.A. Member FDIC Zions Bank PC Banking Service Enrollment Form Be sure to sign the completed Zions Bank PC Banking Agreement and return the enrollment form to one of the following:

More information

Online Banking Agreement

Online Banking Agreement Online Banking Agreement This Agreement provides information about the Triad Bank Online service and contains the disclosures required by the Electronic Funds Transfer Act. By subscribing to the Service

More information

CONVERSION OF GROUP TERM LIFE INSURANCE. Subject to the terms of the Group Policy, as described in your group insurance certificate:

CONVERSION OF GROUP TERM LIFE INSURANCE. Subject to the terms of the Group Policy, as described in your group insurance certificate: CONVERSION OF GROUP TERM LIFE INSURANCE Subject to the terms of the Group Policy, as described in your group insurance certificate: (1) you may apply for an individual, permanent life insurance policy

More information

CONSTITUTION AND BY LAWS OF THE PHILIPPINE MEDICAL SOCIETY OF FLORIDA, INC. EAST COAST CHAPTER PREAMBLE

CONSTITUTION AND BY LAWS OF THE PHILIPPINE MEDICAL SOCIETY OF FLORIDA, INC. EAST COAST CHAPTER PREAMBLE CONSTITUTION AND BY LAWS OF THE PHILIPPINE MEDICAL SOCIETY OF FLORIDA, INC. EAST COAST CHAPTER PREAMBLE Whereas, the Philippine Medical Society of Florida, Inc., East Coast Chapter, is a nonprofit organization

More information

The Citizens National Bank. TheCNB Online Banking (Internet) Agreement

The Citizens National Bank. TheCNB Online Banking (Internet) Agreement The Citizens National Bank TheCNB Online Banking (Internet) Agreement TheCNB Online Banking service is provided by The Citizens National Bank. This agreement between you and The Citizens National Bank

More information

Visa Credit Card Agreement

Visa Credit Card Agreement Visa Credit Card Agreement 1. INTRODUCTION. This VISA Credit Card Agreement (Agreement) and the Account Disclosures accompanying this Agreement will govern your Platinum VISA or Platinum VISA with Rewards

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

GoEmerchant, LLC Reseller Agreement

GoEmerchant, LLC Reseller Agreement GoEmerchant, LLC Reseller Agreement This Agreement is made by and between GoEmerchant, LLC, a Delaware Limited Liability Company doing business as goemerchant.com ("GoEmerchant, LLC"), and the person or

More information

Residential Leasing and Management Agreement

Residential Leasing and Management Agreement 126 W. Harvard St., Suite 3 Fort Collins, CO 80525 contact@allcountylarimer.com (970) 825-1000 Residential Leasing and Management Agreement 1. PARTIES: This agreement between, the owner or legally appointed

More information

BillTracker Subscription Agreement.

BillTracker Subscription Agreement. BillTracker Subscription Agreement Please carefully read the information included in this BillTracker Subscription Agreement, a service of Nebraska.gov. Complete pages 1 and 2 of this Agreement, sign and

More information

OPEN ENROLLMENT FOR HEALTH BENEFITS 2014 ADJUNCT FACULTY

OPEN ENROLLMENT FOR HEALTH BENEFITS 2014 ADJUNCT FACULTY OPEN ENROLLMENT FOR HEALTH BENEFITS 2014 ADJUNCT FACULTY OPEN ENROLLMENT begins Monday, August 25, 2014 from 11:30AM to 4 PM in the new pavilion. Representatives from Independence Blue Cross, Delta Dental,

More information

The Citizens National Bank. TheCNB Online Banking (Internet) Agreement

The Citizens National Bank. TheCNB Online Banking (Internet) Agreement The Citizens National Bank TheCNB Online Banking (Internet) Agreement TheCNB Online Banking service is provided by The Citizens National Bank. This agreement between you and The Citizens National Bank

More information

MyDakotaAddress.com Mail Forwarding Service Agreement. ACCOUNT INFORMATION Primary First Name: Primary Last Name:

MyDakotaAddress.com Mail Forwarding Service Agreement. ACCOUNT INFORMATION Primary First Name: Primary Last Name: MyDakotaAddress.com Mail Forwarding Service Agreement 110 E. Center Street, PO Box 137, Madison, SD 57042 Phone 605-427-5863, Toll Free: 1-866-202-2163 Fax: 605-427-9626 www.mydakotaaddress.com Email:

More information

Make the Switch to American Momentum Bank.

Make the Switch to American Momentum Bank. Make the Switch to American Momentum Bank. If you are thinking about choosing a new bank, consider American Momentum Bank. It s easy to make the switch to American Momentum Bank. All the forms you ll need

More information

*NO ANNUAL FEE *NO CASH ADVANCE FEES *WORLD WIDE ACCEPTANCE

*NO ANNUAL FEE *NO CASH ADVANCE FEES *WORLD WIDE ACCEPTANCE Visa Application please select one: *COMPETITIVE RATES *NO APPLICATION FEE *NO ANNUAL FEE *NO CASH ADVANCE FEES 330.452.9801 *WORLD WIDE ACCEPTANCE WWW.CSEFCU.COM Dear Member, To speed up the processing

More information

QBP & CREDIT TERMS OFFERED

QBP & CREDIT TERMS OFFERED QBP & CREDIT TERMS OFFERED Thank You for Inquiring About Terms with QBP We are excited for this opportunity to present you with the wide variety of payment terms we offer. At QBP we take pride in our excellent

More information

HEALTH SAVINGS ACCOUNT (HSA) CUSTODIAL AND DEPOSIT AGREEMENT

HEALTH SAVINGS ACCOUNT (HSA) CUSTODIAL AND DEPOSIT AGREEMENT Page 1 of 5 HEALTH SAVINGS ACCOUNT (HSA) CUSTODIAL AND DEPOSIT AGREEMENT CUSTODIAL AND DEPOSIT AGREEMENT ( Agreement ) The person whose name appears on the Application is establishing with us a Health

More information

Switch to Century Bank, we build relationships that last.

Switch to Century Bank, we build relationships that last. Switch to Century Bank, we build relationships that last. It s simple to switch to Century Bank We know it s not easy to change banks. That s why we ve developed the Century Bank step-by-step switch kit.

More information

Street Address: City: State: Zip: Email Address: Primary Phone No : Alternate Phone No : Emergency Contact (Name & Relation): Phone No:

Street Address: City: State: Zip: Email Address: Primary Phone No : Alternate Phone No : Emergency Contact (Name & Relation): Phone No: Today s Date: / / MEMBERSHIP APPLICATION MEMBER INFORMATION *** ALL FIELDS ARE REQUIRED *** Name of Primary Member: ID No: Street Address: City: State: Zip: Email Address: Primary Phone No : Alternate

More information

Thank you for your business and choosing Bank of Akron.

Thank you for your business and choosing Bank of Akron. Welcome to Bank of Akron, your hometown bank. At Bank of Akron, we appreciate that your time is valuable. That is why we have created a convenient way for you to switch your banking relationship to Bank

More information

BUSINESS CARD APPLICATION FORM COMPANY SECTION BUSINESS CARD APPLICATION FORM EMPLOYEE SECTION. Company Name (legal): Company Name:

BUSINESS CARD APPLICATION FORM COMPANY SECTION BUSINESS CARD APPLICATION FORM EMPLOYEE SECTION. Company Name (legal): Company Name: BUSINESS CARD APPLICATION FORM EMPLOYEE SECTION Company Name: Employee Name: Title (Mr, Ms, Mrs): ID/PP/DP# Country/Date of Birth: Nationality: Sex: Male Female Name on Card: Mailing Address: Telephone

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

CASTLE ROCK BANK ONLINE BANKING AGREEMENT AND DISCLOSURE

CASTLE ROCK BANK ONLINE BANKING AGREEMENT AND DISCLOSURE CASTLE ROCK BANK ONLINE BANKING AGREEMENT AND DISCLOSURE This Online Banking Agreement and Disclosure ("Agreement") describes your rights and obligations as a user of the Online Banking service or the

More information

VERITY CREDIT UNION VISA CREDIT CARD AGREEMENT

VERITY CREDIT UNION VISA CREDIT CARD AGREEMENT VERITY CREDIT UNION VISA CREDIT CARD AGREEMENT This Agreement covers the use of each credit card (VISA Classic, VISA Journey ScoreCard, and VISA Platinum Passport) issued by Verity Credit Union ( Credit

More information

Ti ps. Merchant. for Credit Card Transactions. Processing Tips CARD ONE INTERNATIONAL INC

Ti ps. Merchant. for Credit Card Transactions. Processing Tips CARD ONE INTERNATIONAL INC Merchant Processing Tips Ti ps for Credit Card Transactions CARD ONE INTERNATIONAL INC Card One International Inc - Merchant Processing Tips for Card Transactions Page 1 of 11 Merchant Processing Tips

More information

5.2 Insurance Requirements The Highway Commissioner VTHD VTHD VTHD additional insured; Vernon Township Highway Department

5.2 Insurance Requirements The Highway Commissioner VTHD VTHD VTHD additional insured; Vernon Township Highway Department 5.2 Insurance Requirements The Highway Commissioner shall determine the minimum acceptable amounts for the following types of insurance--(1) Bodily Injury Liability and (2) Property Damage Liability. There

More information

INDEMNITY AGREEMENT FOR SURETY BAIL BOND ACCREDITED SURETY AND CASUALTY CO., INC.

INDEMNITY AGREEMENT FOR SURETY BAIL BOND ACCREDITED SURETY AND CASUALTY CO., INC. INDEMNITY AGREEMENT FOR SURETY BAIL BOND ACCREDITED SURETY AND CASUALTY CO., INC. The undersigned, called First Party, make application to called Second Party, for execution by ACCREDITED SURETY AND CASUALTY

More information

SANGER BANK ONLINE BANKING AGREEMENT AND DISCLOSURE

SANGER BANK ONLINE BANKING AGREEMENT AND DISCLOSURE SANGER BANK ONLINE BANKING AGREEMENT AND DISCLOSURE This Online Banking Agreement and Disclosure ("Agreement") describes your rights and obligations as a user of the Online Banking service or the Bill

More information

You may have to accept additional terms and conditions for certain services you may wish to utilize within the Account Center.

You may have to accept additional terms and conditions for certain services you may wish to utilize within the Account Center. ACCOUNT CENTER (BANKING) AGREEMENT Effective May 27, 2014 This Account Center (Banking) Agreement (the "Agreement") includes the terms and conditions for your use of the Discover Bank Account Center Banking

More information

Old Dominion National Bank Consumer ebanking Access Agreement and Electronic Fund Transfer Act Disclosure

Old Dominion National Bank Consumer ebanking Access Agreement and Electronic Fund Transfer Act Disclosure Old Dominion National Bank Consumer ebanking Access Agreement and Electronic Fund Transfer Act Disclosure Agreement This Agreement is a contract which establishes the rules governing your electronic access

More information

CB Properties of Memphis LLC 1060 Brookfield Road Suite 100 Memphis, TN 38119 O: 901.620.6787 F: 901.205.0629

CB Properties of Memphis LLC 1060 Brookfield Road Suite 100 Memphis, TN 38119 O: 901.620.6787 F: 901.205.0629 CB Properties of Memphis LLC 1060 Brookfield Road Suite 100 Memphis, TN 38119 O: 901.620.6787 F: 901.205.0629 Property Management Agreement Property Address: Expected Rent:. 1. The owner hereby employs

More information

PERMIT TO BE ON RAILROAD RIGHT-OF-WAY RECITALS

PERMIT TO BE ON RAILROAD RIGHT-OF-WAY RECITALS Permit Number PERMIT TO BE ON RAILROAD RIGHT-OF-WAY This Permit to be on Railroad Right-of-Way ( Permit ) is by and between Capital Metropolitan Transportation Authority ( Capital Metro ), a public body

More information

Corporate Internet Banking. Authorization Worksheets

Corporate Internet Banking. Authorization Worksheets Corporate Internet Banking Authorization Worksheets CLIENT AUTHORIZATION General Company Information Company Name: Client Number: Address: City, State, Zip: Contact Name: (Maximum 35 characters) Phone

More information

KINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, 98346 (360) 297-3600 or (206) 842-0104 Administration FAX: (360) 297-8391

KINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, 98346 (360) 297-3600 or (206) 842-0104 Administration FAX: (360) 297-8391 KINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, 98346 (360) 297-3600 or (206) 842-0104 Administration FAX: (360) 297-8391 CONTRACTOR OR COMMERCIAL APPLICATION FOR CREDIT PLEASE COMPLETE

More information

ONLINE BANKING AGREEMENT AND DISCLOSURE

ONLINE BANKING AGREEMENT AND DISCLOSURE ONLINE BANKING AGREEMENT AND DISCLOSURE This Online Banking Agreement and Disclosure ("Agreement") describes your rights and obligations as a user of the Online Banking service or the Bill Payment service

More information

➊ ➋ ➌ Switching to Ocean City Home Bank is easy. Here s how:

➊ ➋ ➌ Switching to Ocean City Home Bank is easy. Here s how: Make your switch to It s as easy as... ➊ ➋ ➌ Switching to is easy. Here s how: ➊ Fill out both pages of the following information sheets. ➋ Bring the completed sheets along with your driver s license and

More information

CARD AGREEMENT AND DISCLOSURE STATEMENTS GOVERNING THE HOYNE SAVINGS BANK STAR NETWORK ATM/VISA CHECK CARD AND STAR NETWORK ATM CARD

CARD AGREEMENT AND DISCLOSURE STATEMENTS GOVERNING THE HOYNE SAVINGS BANK STAR NETWORK ATM/VISA CHECK CARD AND STAR NETWORK ATM CARD CARD AGREEMENT AND DISCLOSURE STATEMENTS GOVERNING THE HOYNE SAVINGS BANK STAR NETWORK ATM/VISA CHECK CARD AND STAR NETWORK ATM CARD The following Card Agreement and Disclosure Statements, along with the

More information

VISA PLATINUM/VISA PLATINUM REWARDS/VISA PLATINUM SHARE SECURED CONSUMER CREDIT CARD AGREEMENT

VISA PLATINUM/VISA PLATINUM REWARDS/VISA PLATINUM SHARE SECURED CONSUMER CREDIT CARD AGREEMENT VISA PLATINUM/VISA PLATINUM REWARDS/VISA PLATINUM SHARE SECURED CONSUMER CREDIT CARD AGREEMENT In this Agreement, Agreement means this Consumer Credit Card Agreement. Disclosure means the Credit Card Account

More information