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5426 Post Road, P.O. Box 411 East Greenwich, RI 02818 (401) 884-8153 APPLICATION FOR MEMBERSHIP Date___________ Mr.______________________ Mrs. or Ms._____________________________ Residence____________________________________________________________ City/Town & Zip_______________________________________________________ Telephone Number ___________________ E-mail Address _____________________________ Places of Employment: Husband__________________ Telephone _______________________ Wife _______________________ Telephone ______________________ Proposed by and/or References:_____________________________________________________ CHILDREN Under 21 years of age (list others on back)
I hereby make application to The Greenwich Club. If elected, I agree to abide by the rules and regulations of the Club. Applicant's Signature _____________________________________________ A non-refundable application fee of $100.00 must accompany each application For Office Use Only Date Received ________________ Presented to the Board_______________________ Action __________ Accepted __________ Remarks______________________________
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