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                                                                                         Covington Turner Society
                                                                                          Membership Committee
                                                                                          447 Pike St Covington, KY
                                                                                                        
 
                                                                                                      Eric Tully VENMO:@CovingtonTurners
                                                                                              etully24@gmail.com

NEW MEMBERSHIP FORM

Complete ALL fields legibly so that we may insure accurate and current information is on file.
Voting Member Name
Spouse Name
Street Address
City, ST Zip
Phone Number
Email Address

            Check the box that applies and send a check for the Total Enclosed amount below.

 Regular Turner Society Membership $150.00
 I am Active Military Free Free
 I am a college student enrolled over 100 miles away $ 25.00
 I am a Member at Large living over 100 miles away $ 55.00
 I am including Split the Pot for a year beginning with January 2019 $ 60.00
 (Split the Pot is $5 per month-winner drawn each month on the 3rd Monday) Total Enclosed

 When submitting your application, the fee of $150.00 must be attached. This includes $25.00 application fee. Your annual dues are $125.00 per person or per family (with children under the age of 18). Dues are due annually on October 1st and are considered delinquent November 1st, at which time, a $75.00 late fee will be assessed. Your application will be read at the next board meeting and voted on at the following board meeting. You will then be contacted to come and be sworn in at the following board meeting. You will receive your key card(s) at that time. You must be sponsored by two current members


NAME OF BOTH SPONSORS: ________________________________________________


SIGNATURES OF BOTH APPLICANTS: _________________________________________


DATE OF SUBMISSION: _____________________________________