Membership Application

  

Mr. Mrs. Ms. First Name: _____________________Last Name: ____________________

 

Mailing Address: ________________________________________________________

 

City: ____________________State: _____ Phone # ____________________________

 

Email: _________________ D.O.B. / Age. _______ Occupation: ___________________

 

Company Name: ___________________________________________________

Please check the following boxes for areas of interest:

 

___ Interested in The Lime in-town after work events? ___ Dancing.___ Dining.___ Mix & ingle.

___ Interested in The Lime day trips?___ Shopping.___ Beach/Fishing.____ Horseback riding.

                                                                      ___ Sightseeing.___ Museums.___ Sports/concert events.

                                                                      ___ Other: __________________________________.

 

___ Interested in The Lime out of town Vacations.___ Miami.___ Orlando.___ Naples.___ Sebring.

                                                                                             ___ Tampa.___  Arcadia. ___ Fort Lauderdale.

                                                                                             ___Clearwater.___ Daytona. ___ Florida Keys.

                                                                                             ___ Las Vegas.___ Peru.___ St. Croix.___ Cruises.

                                                                                             ___ Other: __________________________.

 

___ Interested in The Lime Co-Ed Sports events?___Valley ball.___ Soft Ball.___ Golf. ___Tennis.

                                                                                           ___ Other: ___________________________.

 

Membership Levels

___$29 Basic. ___$49 Silver. ___$75 Gold. ___$99 Platinum. ___$299 Event Planning Service.

Referred by: __________________________________________________

 ___ PayPal confirmation #_____________

___ Check #_____________

___ Cash $____________

 Make Checks payable to: The Lime P.O. Box 6876 Avon Park, FL. 33826-6876

  Terms and Conditions