Membership Application Form

I would like to apply for a Membership at Shanghai Town & Country Club
and enjoy the relative privileges associated with the membership.

Membership Categories

Cornerstone Membership
Resident Individual Membership
Resident Family Membership
Two Year Individual Membership
Two Year Family Membership
Corporation /Association Membership
Others
Company
Residence

Member’s /Nominee’s Profile

Mr.
Ms.
Mrs.
Dr.
Others
Family Name:
Given Name:
ID / Passport No.:
Date of Birth(DD/MM/YY):
Personal Email:
Nationality:
Company Name:
Marital Status:
Anniversary Date:
Job Title:
Family Address:
Company Address:
Mobile No:
Company Phone No:
Wechat:
Company Email:

Children’s Information

Name (Age below 22 years old) Date of Birth (DD/MM/YY) Gender M F
1.
2.
3.
4.
5.
When the children reach 22 years of age , they will no longer qualify for the relevant privileges and benefits. However, children can be extended to age 25 if proof is provided the child is in graduate school.

Corporate /Association Membership–Additional Info

Corporate Membership is entitled to company, partnership and association. Every nominee is entitled to one membership card.

Company /Association :
Registered Address of Association / Company /HeadOffice :
City:
Country:

Address, if different from above:

City:
Country:
Company Phone No:
Company Email:
Business Scope:

I hereby declare that the Company completing the application form is for the Corporate /Association Membership nominee. All Corporate /Association Members nominees shall assume the responsibility of payment of all fees and other expenses related to the membership. Every new nominee must submit a Membership Application Form to be approved and admitted by the Membership Admission Committee. Once admitted by the Membership Admission Committee, the nominee, according to the By-laws and Rules and Regulations, agrees to pay the Membership Joining Fee and Annual Fees, and understands the Joining Fee and Annual Fees of the current year is non-refundable. All Corporations/Association may appoint a new nominee according to By-laws, Rules and Regulations by paying a designation fee which is non-refundable.

Responsibilities

I understand and agree the By-laws, Rules & Regulations and any other information I have received in writing from STCC may be amended from time to time and at the discretion of STCC without prior notice to the member. Furthermore, I understand and agree that STCC has the right to adjust the Annual Fees and Other Charges of STCC based upon China’ s prevailing inflation rate or current market conditions. In addition, I understand and agree to the following items:

· If the applicable category of membership has an Annual Fee payment responsibility, the Fee is due and payable within 10 days of the Membership Applicant being accepted for membership and the Membership Joining Fee has been received by STCC. Thereafter, the payment of the Annual Fee is due and payable upon receipt of the invoice. Failure to pay within the time frame stipulated without a written waiver from the duly authorized STCC executive may result in termination of the membership.

I am fully responsible for the payment of all STCC charges and expenses incurred by myself, spouse, children and guests.

· After seeking written authorization from STCC that an individual, corporation, or association who is not a member of STCC is authorized by myself to utilize the services and amenities of STCC and the said individual, corporation, or association does not pay for the services rendered, I will assume responsibilities for those charges and pay STCC at the time the invoice is presented to myself.

· At the time my Membership Application is approved, I agree to pay the Membership Joining Fee of RMB and the Annual Fee of RMB. Furthermore, I understand that both of these fees are non-refundable unless a separate written contract is signed by the duly authorized STCC executive stating the revised terms and conditions.

· Based upon the category of membership, the membership may be transferable or re-designated. For those memberships which qualify, the member must notify STCC in writing at least 30 days prior to the transfer being completed. Completion of the transfer will only take place once the Membership Applicant who is purchasing the membership or is being re-designated has been approved and the applicable fees have been paid.

*This is a translated version of the Chinese version; if difference occurs, please refer to the Chinese version.

Signature of Applicant:
Date (DD/MM/YY):
Signature of Spouse:
Date (DD/MM/YY):

Interest

Member Spouse Child(1) Child(2)
Golf/Tennis/
Badminton/PingPong
Aerobics/Yoga
Jogging
Singing
Squash
Fishing
Spa Treatment
Swimming
Travelling
Basketball
Fitness Programmes / Gymnasium
Outing
Investment
Gourmet Cooking
Wine
Cigar
Card Games/Bridge
Book Reading
Photography
Arts/Crafts
Ladies Events
Dance Programme
Children’s Education
Antiques
Entertainment
Others

Please submit the crossed cheque(Union Pay / Credit Card / Visa Card / Master Card / Amex Card) to STCC

Date
Categories:
Membership No:
File No:
ID No:
Payment Mode:
Bank:
Cheque / Card No:
Approved by Membership:
Date:
Approved by GM:
Date:
Approved by Membership Admission Committee:
Date:
Submit