Four SeasonsTowne Club
5600 Brampton Rd, Dayton, Ohio 45429
2011 Trial Membership Application
Name:__________________________________________________
Spouse:_________________________________________________
Address:_________________________________________________
City:____________________________________Zip:_____________
Phone:___________________________________________________
E-mail:___________________________________________________
Dependents residing in your household:

Name                                Age as of 6/1/11                Birthday
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Have you previously been a Trial Member of Four Seasons?_____________
Types of Memberships
Amount
Due
Family Trial Membership Fee (one summer only)
$350.00
With application
Single Adult Membership Fee (18 yrs or older)
$225.00
With application
Senior single or couple Fee  (55 years or older)
$180.00
With application
Initiation Fee for those joining
$ 99.00
November 1, 2010
Trial Membership is for the first year of membership.  Trial members may enjoy member use
of all the pool facilities and attendance at all events during their trial period.  After the 2010
season, trial members that want to become ongoing Four Seasons members must pay a
non-refundable one time $99 initiation fee by November 1, 2011.  
Please make your check payable to:
Four Seasons Towne Club
PO Box 292065
Dayton, OH  45429