Agreement No._______________
------------- Above to be filled out by H.I.A. -------------
Print this page and send it compiled to: Fax
number 727-593-1095 ·
or Mail to Address:
San Remo Resort & Beach Club
18320 Gulf Blvd.
Redington Shores, Florida 33708 U.S.A.
FAMILY MEMBERS (LIST FIRST, LAST NAME, AND RELATIONSHIP)
1. __________________ / _______ 2. __________________ / _______
3. __________________ / _______ 4. __________________ / _______
5. __________________ / _______ 6. __________________ / _______
TYPE OF MEMBERSHIP: ALL-YEAR PRIVILEGES
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Acceptance: I have read and accepted all terms and conditions as stated in this agreement and the rules and regulations as stated in this agreement end the rules and regulations of the club and members resorts when I visit those facilities.
APPLICANT'S SIGNATURE: _______________________ DATE: ________
ACCEPTED BY: __________________________________ DATE: ________ Note: All Prospective Members' applications subject to Home Innovation Association approval and clearance of funds. Each stay is subject to a one time cleaning fee per room. All reservations are subject to availability.
or Mail to Address:
San Remo Resort & Beach Club
18320 Gulf Blvd.
Redington Shores, Florida 33708 U.S.A.

Call Toll-Free 1-800-523-2882 · Local 727-595-5700 · Fax: 727-593-1095