Four SeasonsTowne Club
5600 Brampton Rd, Dayton, Ohio 45429
2010 Membership Renewal
 
 
 
 
 
 
 
**Members are eligible to use the pool and facilities after all fees are paid in full.**
Type of Membership Renewal
Price
Due date
Family Membership Fee
$340.00
by May 1, 2010
Family Membership Fee w/late fee
$365.00
after May 1, 2010
Single Adult Membership Fee (18yrs or older)
$221.00
by May 1, 2010
Single Adult Membership Fee w/late fee
$246.00
after May 1, 2010
Senior single or couple Fee (55 years or older)
$170.00
by May 1, 2010
Senior single or couple Fee w/late fee
$195.00
after May 1, 2010
Round up for Rodney (See Pres Message for Info)
$10.00
 
Name:__________________________________________________
Spouse:_________________________________________________
Address:_________________________________________________
City:____________________________________Zip:_____________
Phone:___________________________________________________
E-mail:___________________________________________________
Dependents residing in your household:

Name                                Age as of 6/1/10                Birthday
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

You can pre-order a booklet of 10 Guest Passes for $30.00 ($3.00 for each pass instead of the normal
fee of $4.00 per guest).  Orders must be received by May 1, 2010.  Booklets will be available for pick-up
at the pool on Friday, May 23, 2010.  Passes are valid for 2010.  No refunds on unused passes.
2010 GUEST PASSES
____ Guest Pass Booklets @ $30.00 each =  ________ total due
Please make your check payable to:
Four Seasons Towne Club
PO Box 292065
Dayton, OH  45429