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I acknowledge that all names to the left are qualified members under the above definitions and are given the right to charge any bill they received in the Links Restaurant & Lounge and Spikes to my account. Approved By: _________________________________ Lake Panorama National Resort 2010 Diners Club Application Name: ______________________________________________________________________ Address: __________________________________________ LPA Lot #: _______________ City: ____________________________ State: _________________ Zip: _______________ Home Phone #: ____________________ Alt Phone #: ________________________ Email Address: ______________________________ Fax Number: ____________________ Member Categories Family Membership: A membership that gives the member, spouse and children under eighteen years of age the benefits included with the Lake Panorama National Resort Diners Club. Single Membership: A membership that gives only the individual member the benefits included with the Lake Panorama National Resort Diners Club. Benefits of the Lake Panorama National Diners Club Each Membership gets 10% FREE credit when they join. (i.e. payment of $500 gets $550 in credit). Each Membership will get Links Restaurant & Lounge charging privileges for the entire year. Charging privileges can be used in the Links Restaurant & Lounge, Spikes and Beverage Cart. Dues and Fees Category Amount Family Diners Club Membership One Payment of $500.00 ____________ Or Two Semi Annual Payments of $250.00 ____________ (Due March 1st and August 1st, 2010) Single Diners Club Membership One Payment of $250.00 ____________ Or Two Semi Annual Payments of $125.00 ____________ (Due March 1st and August 1st, 2010) Please Check Choices, Extend and Subtotal: ____________ Final Total: ____________ Persons Included in Membership: Name #1:________________________ Name #2:________________________ Name #3:________________________ Name #4:________________________
