Membership Application

In order to gain membership to Club Red Velvet, applicant must be 25 years of age or
older.

In order to gain lifetime membership to Club Red Velvet, applicant must be 25 years of age
or older and have previously had a one year membership.

No limited membership is available.

Name: ______________________________________________

Gender: ______________________________________________

DOB: ______________________________________________

Occupation: ______________________________________________

Email: ______________________________________________

What is your interest in the social, patriotic, fraternal or recreational purpose of this club?

__________________________________________________________________

__________________________________________________________________

Do you prefer: _____ Dancing _____ Skill Games

_____ Billiards _____ Food
_____ Live Entertainment _____ Other _____________

Membership (check one): _____ 1 year ($20.00) _____ Lifetime ($ 200.00)

________________________________ ____________________________
Signature Date

BELOW THIS LINE FOR OFFICE USE ONLY________________________________

Issue Date: ____________________ Approved by: ________________

Membership No: __________________