MEMBERSHIP
INFORMATION
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Island Singles

Hilton Head Island and Bluffton Area

www.hiltonheadislandsingles.com

 Membership & Renewal Application

 

 Name___________________________________________________________________

 

Mailing Address __________________________________________________________

 

City _____________________________________State __________Zip _____________

 

Home Phone _____________________________________________________________

 

Cell Phone ______________________________________________________________

 

E-mail __________________________________________________________________

 

Birthday:  Month _________________________ Day ____________________________

 

New Member ________________     Renewal _________________

 

 

 

In consideration of my membership, I hereby agree that neither I, nor my heirs or assigns will hold any member of the club liable for any injury or damage, however caused, that may result from my participation in any club event.   Initial ________________

 

May the club include your information in its directory?

Yes ___________       No ____________

 

 Signature _____________________________________________________

 

 Club dues for January 1 through Dec 31 are $25 payable with application.

Deadline is Jan 31 for current members.

Dues are not pro-rated and are non-refundable.

Make checks payable to “Island Singles”

 

Mail to: Bette McDermott 40 Sapelo Island Lane, Bluffton, SC. 29920