Maple Hills Maintenance Company

14707 205^th Ave S.E.

Renton, WA  98059

www.maplehills.org

 

Maple Hills Pool Membership Application

 

MEMBERSHIP FEES:	New Member	Returning Member
Membership Dues	$400	$400
One Time Registration Fee	$50	$0
Total Due by May 1st	$450	$400

 

Make checks payable to Maple Hills Maintenance Company.  This year there is an option to pay by credit card.  You need to go to our business management site at www.cabanc.com and follow the pay assessment link.  There will be a small fee for this service.  MasterCard or American Express only.

 

Member Information:

 

Name(s) First and Last:                                                                                                                      

 

Address:                                                                                                                                               

 

City and Zip:                                                                                                                                       

 

Home Phone:                                                                          Cell Phone:                                         

 

Email Address:                                                                                                                                               

 

Children’s Names:                                                                                                                              

 

Emergency Contact                                                                                                                           

& Phone Number

 

 

 

 

Maple Hills Maintenance Company disclaims any liability for injury caused by the negligence on the part of the individual users of the facilities.

I understand and herby agree to abide by the rules and regulations established by the Maple Hills Maintenance Company for the use of their recreational facilities.  I further understand that should I or any member of my family or any guest of mine violate their rules and regulation, my privileges and fees may be subject to forfeiture.

 

 

 

 

Signed:________________________________________________________    Date:_____________________________