IRISH BEACH IMPROVEMENT CLUB

PO Box 237 Manchester, CA 95459

(707) 882-3183 ibiclub.com

APPLICATION FOR MEMBERSHIP

Name(s) Irish Beach Address

3/10/2007

IRISH BEACH IMPROVEMENT CLUB

PO Box 237 Manchester, CA 95459

(707) 882-3183 ibiclub.com

Mailing Address Unit Lot

3/10/2007

IRISH BEACH IMPROVEMENT CLUB

PO Box 237 Manchester, CA 95459

(707) 882-3183 ibiclub.com

City State Zip

3/10/2007

IRISH BEACH IMPROVEMENT CLUB

PO Box 237 Manchester, CA 95459

(707) 882-3183 ibiclub.com

Phone Number Email

Please accept my application for membership in the IBIC. I understand that this is a group of property owners dedicated to the improvement and maintenance of the common areas of Irish Beach. Membership in IBIC entitles me to participate in all Club activities, to vote and run for office. I am entitled to use of the parks, Pomo Lake, and the roads leading to and from the beach. I understand that a security gate pass, which activates the security gate leading to the beach, will be issued to me at the time of acceptance of this application. My Initiation Fee and Annual Dues payment are enclosed.

Signature Date

3/10/2007

IRISH BEACH IMPROVEMENT CLUB

PO Box 237 Manchester, CA 95459

(707) 882-3183 ibiclub.com

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Initiation Fee:

You may pay the $150.00 one time fee all at once or

in three yearly installments of $50.00 ______

Annual Dues:

IBIC’s fiscal year runs from April 1-March 31.

Are you joining at the beginning of the fiscal year?

If yes, your dues are $200.00 ______

If no, fill in the amount from the chart based on the month ______

There is a $75 surcharge if the home is a vacation rental ______

Gate pass:

You get 1 gate pass with membership.

Additional passes are $15.00 each. ______

TOTAL ______

Make check payable to IBIC and send to PO Box 237, Manchester, CA 95459.

You will receive your gate pass(es) within 10 days.

3/10/2007