FALL RIVER COUNTRY CLUB
4232 NORTH MAIN STREET
FALL RIVER, MA 02722-0244
CORPORATE MEMBERSHIP APPLICATION
CORPORATION NAME_________________________________________DATE___________
ADDRESS_______________________________________________________________
CITY_________________________________STATE__________ZIP_______________
BUSINESS TELEPHONE________________________________EXT_________________
EMAIL ADDRESS_________________________________________________________
MEMBERSHIP CATEGORY REQUEST ________________________________________
PAST OR PRESENT CLUB AFFILIATION _____________________________________
HANDICAP, IF ANY _______________________________________________________
SPONSOR ______________________________________________________________
SPONSOR ______________________________________________________________
FOR FRCC USE ONLY
DATE OF BOARD MEETING ________________PAYMENT RECEIVED ________________
DATE ACCEPTED ____________________________________________________________
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DESIGNATED PLAYERS:
1.___________________________________________
Address:_____________________________________
City___________________State_____Zip___________
Telephone:__________________________
2.___________________________________________
Address:_____________________________________
City___________________State_____Zip___________
Telephone:__________________________
3.____________________________________________
Address:_____________________________________
City___________________State_____Zip___________
Telephone:__________________________
4._____________________________________________
Address:_____________________________________
City___________________State_____Zip___________
Telephone:__________________________
5._____________________________________________
Address:_____________________________________
City___________________State_____Zip___________
Telephone:__________________________
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CREDIT APPLICATION
Type or Print Clearly
Subscriber Name: FALL RIVER COUNTRY CLUB TCSI NO.:____________
Requested Purpose: Establish Member Credit Line with Club
This section must be completed
Applicant:______________________________________________SS#:______-_______-_______
First Middle Last
Home Phone:_________-_________-__________ Date of Birth _______-________-________
Month Day Year
Applicant's Identification Type:_______________________Number:_________________________
Current Address:___________________________________________How Long:______________
Previous Address 1:_________________________________________How Long:______________
Previous Address 2:_________________________________________How Long:______________
Current Employer:__________________________________________Phone:______-______-______
Employer Address:_________________________________________How Long:_______________
Position_________________________________________Monthly Income:$_________________
Landlord:________________________________________Phone:______-______-_______
Bank Name____________________________________Checking: YES / NO circle Savings: YES / NO
Co-Applicant:_____________________________________SS#________-________-________
First Middle Last
Home Phone:________-________-________ Date of Birth:________-________-________
Month Day Year
Current Address:________________________________________How Long:_________________
Current Employer:_______________________________________Phone:_______-_______-_______
Employer Address:______________________________________How Long:__________________
Position:_____________________Monthly Income: $___________Phone:______-_______-______
Personal Reference:___________________________________Phone:________-________-_______
Personal Reference:___________________________________Phone:________-________-_______
The undersigned consumer applicant(s) apply to the subscriber named above for an obligation defined as a "legitimate permissible purpose" as indicated above and allowed by the Fair Credit Reporting Act, Public Law 91-508 (FRCA). By signing below the applicant(s) certify that all the above information is true and correct in every respect. This application is not for employment or any restricted purpose. The applicant(s) authorizes the verification of any and all information contained in this application by the subscriber or its authorized designee - TCSI and further authorize the subscriber or its authorized designee - TCSI to obtain a credit report from a so called "Credit Bureau" on each applicant. The applicant(s) understands and agrees that the decision to grant or deny the request contained in this application is at the sole discretion of the subscriber.
APPLICANT'S SIGNATURE:________________________________DATE:____________________
CO-APPLICANT'S SIGNATURE:_____________________________DATE:___________________
SUBSCRIBER'S SIGNATURE:________________________________DATE:____________________
Rev. 10-98 CBR-TCSI