Verano #2
Community Development District

ANNUAL MEMBERS CLUBHOUSE REGISTRATION FORM

DOCUMENT REQUIRED:
A form of identification is required for each individual applying for the Clubhouse Access Key Fob.
Annual Member Club dues are $ 750.00 on a fiscal year basis based on the District’s fiscal year which runs from October 1st through September 30th.
Replacement Key Fobs are $25.00.
Money Order or Cashier Checks Only, Made payable to Verano #2 CDD.

Name of Primary Annual Member:	Property Address:	
Phone Number(s):	Email Address(s):	

List up to (2) two Immediate Family Members and any minors residing on property	
Date of Birth	Relation to Member	

			

			

 I acknowledge that I have received, read and understood the Amenity Facility Policies & Procedures.
 I have received an access Key Fob and understand that I will be denied access to the club facilities if I cannot present the access key fob. I understand this key fob is not transferrable and only I may be able to use this key fob to gain access to the Amenity Facility.
 If my Key Fob is lost, damaged, or stolen, I will contact the Clubhouse manager immediately to terminate that access key fob and will purchase a replacement in the amount stated above.

Signature: 	 Date: 	

Print Name: