GOOD GO ING HUNTING
Membership Application - Applicant Profile
be considered personal and confidential.
I. Membership Date of Application:______________ Indicate type of membership desired: _____Individual _____Family _____Corporate/Group State reasons for joining: __________________________________________________________________ __________________________________________________________________ II. Personal information Full Name:______________________________ Date of Birth:___________ Home Address:_____________________________________________________ City:__________________________ State:_________________ Zip:______ Phone:__________________________ Marital Status:__________________ Spouse's Name:____________________________________________________ Children's Names and Ages:________________________________________ __________________________________________________________________ III. Business/Professional Applicant's Employer:_____________________________________________ Type of Business__________________________________________________ Address:__________________________________________________________ City:________________________ State:_________________ Zip:________ Phone:__________________ Occupation/Title:________________________ Spouse's Employer:________________________________________________ Type of Business__________________________________________________ Address:__________________________________________________________ City:______________________ State:__________________ Zip:_________ Phone:_____________________ Occupation/Title:_____________________ I hereby authorize the disclosure and release of information to Good Go Ing Hunting for purpose of investigating my character and reputation. I certify that, to the best of my knowledge, the foregoing information is correct. I understand that any misrepresentation shall be cause for denial of further consideration. If elected to membership, I agree to abide by the by-laws, rules and policies as set forth by the membership, management, and the owners. I also agree, if elected to membership, to pay the dues corresponding to the hunting plan chosen, and any other charges as and when applicable. Signature of Applicant:____________________________ Date Signed:__________ Date Approved:___________________ Signature of Good Go Ing Representative:__________________________________