Please print out this form, complete, sign and forward to:
Hunt Valley Swim Club
P O Box 2083
Springfield, VA  22152


www.HuntValleySwimClub.org
703-455-1224 (Information Line)

Sale of Permanent Membership Request Form

Membership No.  
Name  
Street address  
City, State, Zip  
Phone Number  
email  

Forwarding Address as applicable

Effective Date  
Street address  
City, State, Zip  
Phone Number  

_____  Please sell my membership to a family on the Club's waiting list.

_____  Please offer my membership to the purchasers of my residence.

Purchaser's Name  
Street address  
City, State, Zip  
Phone Number  

I hereby authorize Hunt Valley Swim Club to sell my family membership.  I realize that I continue to have membership privileges and am responsible for all obligations until my membership is transacted by the Club.

Signature  
Date  

Please complete and forward this form with your membership certificate and tennis court key to Hunt Valley Swim Club to the following address.

HVSC Membership Chair
Hunt Valley Swim Club
PO Box 2083
Springfield, VA 22152

Each family was issued a membership certificate when the membership was purchased.  If you have misplaced your certificate, a $10 lost certificate fee will be charged.  If you locate the certificate after your membership is sold, simply return it to the club for reimbursement of this fee.