Membership Redemption Request for Hideaway Swim Club

Hideaway Swim Club

Membership Sell / Redemption Request
Form*
This form is used to help facilitate the Hideaway Swim Club membership sell / redemption process. To start the process, please complete this form. Upon completion of this form, you will receive an email with instructions.

Completion of this form does not constitute a sale or redemption request; you must send a physical request by certified mail.
Account Number*
Bond Number*
E-mail*
Bondholder Name 1*

First NameLast Name
Bondholder Name 2 (if applicable)

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Physical Bond*

I have my bond certificate and will include it with my request mailing.I no longer have access to my bond certificate and will notarize my request.
Certificate Bond Value
Sell / Redeem / Donate*

I plan to sell my certificate bond to a new memberI plan to request that Hideaway Swim Club put my bond on the redemption list to be sold to a future new memberI wish to donate my bond value for the well being of the club (a.k.a. forfeit)
Purchaser Full Name(s)
Purchaser Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Purchaser Phone Number

Area CodePhone Number
Purchaser E-mail
Comments
Verification*
Should be Empty: