Company Letter of Membership Acceptance
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Sample letter accepting the placement of a Membership in a company name. This document must be notarized .

ClubShop Rewards
Attention: Membership Department
2828 So. McCall Rd., Suite 13
Englewood, FL 34224

Attention: Membership Department

_____________ Current Member ID Number

Current Member Name
Proposed Company Name

Member Address
Proposed Company Address


Company FEIN or Individual Social Security Number (USA Only)

I, (owner/officer's name) __________________________________, am an officer/owner of the above referenced company and hereby state that I have read and agree to be bound by the ClubShop Rewards Membership Terms of Agreement for this membership and agree to keep current my membership payment as outlined in these terms of agreement. My signature below indicates my acceptance of these terms.

The method of payment I choose for this membership is: (check one) ___ credit card ___echeck

Credit Cardtype: _____________ cc #______________________ name on cc:___________________

expiration date_____________ CVV Code:___________(help)


Checking Account Bank:_________________________________

Address:_______________________________________________________

Checking Acct #______________________________

Bank account number:_________________________ (help) Routing Number ______________

 

 

___________________________________
Company Owner/Officer Signature

 

 

_____________________________________
Date

NOTE: This document must be notarized by a Notary Public (or the equivalent outside the USA).