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Request Membership Information
CONTACT INFORMATION
First Name*
Last Name*
Phone Number*
Email Address*

ADDRESS
Membership classifications are based on the closest residence you own, lease, or otherwise reside to the club in air miles. Please use the closest address.

Street Address*
City*
 		State*
  		Zipcode*
 		Country*

EMPLOYMENT
Employer
Position/Title 

ADDITIONAL INFORMATION 
How did you hear about Saucon Valley Country Club?
Do you currently belong to a club?  Yes No
If you selected yes, please list your current club(s)
 
Do you have a parent or grandparent who is a member/former member of the Club? Yes No
Are you living locally under age 35 and interested in a Junior Membership? Yes No 
If yes, please enter current age
SVCC Member Reference
Tell us a little more about yourself