Application for Membership - Page 2

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Applicant #1: Name:____________________________________ Name:____________________________________ Present landlord's name & phone # or mortgage co. name & phone #: _________________________________________ _________________________________________ Length of stay at present address: _________________________________________ _________________________________________ Present monthly rent: mortgage _________________________________ mortgage _________________________________   Utilities included? yes no Average monthly utility costs: _________________________________________ Previous landlord's name and address (if less than two years at current address): _________________________________________ Previous address: _________________________________________ _________________________________________ _________________________________________ Length of stay at previous address: _________________________________________ Rent:_____________________________________ Utilities:___________________________________ May we use your present landlord or mortgage co. as a reference? yes no            If no, please specify: _________________________________________ _________________________________________

Applicant #2: Name:______________________________________ Name:______________________________________ Present landlord's name & phone # or mortgage co. name & phone #: ___________________________________________ ___________________________________________ Length of stay at present address: ___________________________________________ ___________________________________________ Present monthly rent: mortgage____________________________________ mortgage____________________________________   Utilities included? yes no Average monthly utility costs: ___________________________________________ Previous landlord's name and address (if less than two years at current address): ___________________________________________ Previous address: ___________________________________________ ___________________________________________ ___________________________________________ Length of stay at previous address: ___________________________________________ Rent:_______________________________________ Utilities:_____________________________________ May we use your present landlord or mortgage co. as a reference? yes no If no, please specify: ___________________________________________ ___________________________________________