RCC Membership Application

General Membership Application

Updated 06.2024
Congratulations! You're taking the first step in becoming a part of a world-class organization in the heart of southeastern New Mexico. Please review and complete the following application form.
1. Types of Membership

At the moment we offer five types of membership: Social, First Responder, Junior 39, Senior, and Stock.

Membership Level	Description	Initiation Fee	Monthly Dues	Food & Beverage Minimum
Social	Use of all facilities, no golf privileges, includes spouse	$1,000	$95	$50/month
First Responder	First Responder is anyone who provides pre-hospital care which includes firefighters (including volunteer), EMT, police (state, sheriff, city) and medivac nurses. Unlimited golf, use of all facilities, includes spouse.	Waived	$145	$50/month
Junior 39	Open to all individuals 18-39 years old. Unlimited golf, use of all facilities, includes spouse. Automatically moves to Stock Level at age of 40.	$1,000	$145	$50/month
Senior (Aged 75+)	Unlimited golf, use of all facilities, voting rights for club governmental affairs (5 years minimum). Includes spouse.	$1,000	$200	$50/month
Stock	Unlimited golf, use of all facilities, voting rights for club governmental affairs, includes spouse and children under 21 years old.	$1,000	$270	$50/month

Add-on Golf Services

Cart Club Single	One Member with unlimited cart usage	$65/month
Cart Club Family	Multiple family members with unlimited cart usage	$90/month
Cart Storage	Private cart storage in RCC's cart barn	$30/month
Trail Fees	Private carts usage on RCC cart trails	$45/month
Range Club	Unlimited driving range use and range balls	$250/year

2. Choose Your Membership
Please, select the type of membership*

SOCIALFIRST RESPONDERJUNIOR 39SENIOR (75+)STOCK
Please select the type of add-on golf services*

NONECART CLUB SINGLECART CLUB FAMILYCART STORAGETRAIL FEESRANGE CLUB
3. Personal Data
The individual designated as the "Primary" member, upon acceptance to the Club, is responsible for all dues, fees, and charges associated with his/her acount. The member is also responsible for the conduct of his/her spouse and/or children while on Club premises, including compliance with all rules, regulations, and guidelines.
Primary Member Full Name*

First NameLast Name
Date Of Birth*

MonthDayYear
Date
Current Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Address (if less than 5 years)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address (if different from Current Physical Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail :*
ex: myname@example.com
Phone Number*

Area CodePhone Number
Member Spouse Full Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
Current Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail :
ex: myname@example.com
Phone Number

Area CodePhone Number
4. Employer Information
Primary Member
Current Position:*
ex: Research Analyst
Organization / Company:*
ex. Chevron
Type of Business:*
ex. Oil & Gas
Length of Employment*

Less than 1 year1-2 years3-5 years6-8 years8-10 years10+ years
Secondary Member
Current Position:
ex: Research Analyst
Organization / Company:
ex. Chevron
Type of Business:
ex. Oil & Gas
Length of Employment

Less than 1 year1-2 years3-5 years6-8 years8-10 years10+ years
5. Payment
I would like my monthly statement amount to be drafted the second Tuesday of each month with the credit card on file or through ACH.*

YesNo
I would like my initiation fee drafted from the credit card on file or through ACH once approval of application.*

YesNo
*RCC requires an active credit card number be kept in our files. If card becomes inactive and not replaced, your membership and privileges will be suspended. This credit card will be automatically used if your account becomes 60 days delinquent.
6. Previous Clubs
Club Name
City, State
ex. Lubbock, Texas
Membership Dates
ex. 07/2020 - 10/2022
Club Name
City, State
ex. Lubbock, Texas
Membership Dates
ex. 07/2020 - 10/2022
7. Member References

Along with your application, you must have three references, who are in good standing, to agree to sponsor you as a potential member.
Reference 1 Full Name*

First NameLast Name
Reference 1 Phone Number*

Area CodePhone Number
Reference 2 Full Name*

First NameLast Name
Reference 2 Phone Number*

Area CodePhone Number
Reference 3 Full Name*

First NameLast Name
Reference 3 Phone Number*

Area CodePhone Number
14: Agreement
Please check the following boxes to indicate your understanding and agreement:*

I accept a photocopy and/or electronic file of this authorization be accepted with the same authority as the original.My email address will be added to the RCC Newsletter listIt is understood that if I do not comply with the By-Laws of the Riverside Country Club Corporation and the Rules and regulations promulgated by the Director and different committees effective at present and in the future, I will be subject to suspension or expulsion by the Board of Directors.I hereby authorize and request any law enforcement agency, financial institution, or other person having personal knowledge about me to furnish any and all information in their possession regarding me in connection with an application for membership with Riverside Country Club.
15: E-Signature
The undersigned hereby applies for membership in the Riverside Country Club and agrees to remain a member for a period of _____ years. Transfers out of the area, fifty (50) miles or greater, are exempt. It is further understood that Club privileges shall not begin until this application is approved by the Riverside Country Club Board of Directors and the initiation fee is received.

Furthermore, the undersigned hereby agrees to pay all costs, including reasonable attorney fees and expenses, and court costs incurred in the cost of the indebtedness. An active credit card is required to be on file. This card will only be used if authorized by the member for payment of the monthly billing. If the account has not been paid within the allowed 30 day billing period, RCC reserves the right to change the previous months billing to the credit card.

Any changes to or cancellation of membership must be delivered in writing to Riverside Country Club main office.

My signature on this form waives any rights I may have to bring action for defamation, invasion of privacy, or similar causes against Riverside Country Club, its Board of Directors, Managers, Staff and Members.
Primary Member Signature*

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Secondary Member Signature

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General Membership Application

1. Types of Membership

2. Choose Your Membership

3. Personal Data

4. Employer Information

5. Payment

6. Previous Clubs

7. Member References

14: Agreement

15: E-Signature