APPLICATION | My Site 34

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Address

Membership Selection

Explorer Membership (50,000 Points) – $52,000

Lifestyle Membership (95,000 Points) – $90,000

Elite Presidential Membership (450,000 Points) – $125,000

Payment Information : Preferred Payment Method:

Credit/Debit Card

Bank Transfer

Financing Request

Do you need financing assistance?

Yes

No

Signature

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✅ Acknowledgement

By submitting this application, I certify that all the information provided is true and accurate. I understand this is an application for membership, and acceptance is subject to approval and payment processing.