Membership Application

(Fill in this Form and then Print it and mail it to:)


393 S. 2650 West
Salt Lake City, Utah 84104

I am interested in becoming a member of Vagabond Recreation Club and United eXchange International. I understand that the membership fee is FIFTY DOLLARS ($50.00). I understand that this fee is for the first twelve months membership in both Vagabond Recreation and United eXchange International. The only other fee is a TWENTY FIVE SOVEREIGNS (25.00s) annual renewal fee due through United eXchange International.

I also understand that in addition to the Pledge I make to United eXchange International, my Membership Fee in Vagabond Recreation will also be credited back to me as part of my UXI credit limit.

We do not accept payment over the internet because we retain the right to approve of the goods and/or services being offered for exchange through UXI.

I have read the terms and conditions of the Membership Agreement in United eXchange International and the By-Laws and Club Information for Vagabond Recreation, both of which become a part of this Membership Application by this reference thereto. I do hereby state that I do understand all of the terms and conditions and will abide by them.

I hereby pledge to make the goods and/or services, that I have listed below, available to other club members as they may desire to exchange for them. The total amount of my pledge establishes my personal "line of credit" limit for my Membership Card.

Signature of Applicant: __________________________________ Date of Signature: ________________________

Salutation:
Name:
Address:
City:
State: Zip Code:
Country:
Email Address:
Home Page URL:
UXI Pledge:
Enter as many different Items as you would like to offer, and enter the Total Pledged Value for each item pledged. For instance: 100 hours of Legal Services at $80 per hour would have an amount of $8,000 		Item 1: Amount:
Item 2: Amount:
Item 3: Amount:
Item 4: Amount:
Item 5: Amount:
Total Pledged Amount:
This Amount, along with your Membership Fee, will be credited to your account for your immediate use.
Comments:

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