MARCO
ISLAND CIVIC ASSOCIATION - RESIDENTS' BEACH
1770
SAN MARCO ROAD #204
MARCO
ISLAND, FLORIDA 34145
239-642-7778
APPLICATION FOR RENTER
(2 MONTHS OR LONGER) PASS
FISCAL YEAR 2007-2008
RESIDENTS' BEACH
Enclosed is my check for $130.00 covering the application
fee for a Renter’s Residents' Beach pass. Fees are not prorated.
CHECKS SHOULD BE MADE PAYABLE TO MICA - RESIDENTS' BEACH.
A pass may be issued for a rental period of 2
months or longer, based upon the lease agreement.
By providing proper documentation of Marco Island
residency, I will receive a beach pass for the time period for which I am
renting, which will enable me to access the Residents’ Beach properties at
130 South Collier Boulevard and MICA’s Sarazen Park at 930 Swallow Avenue.
In
support of this application, I AM SUBMITTING HEREWITH PROOF that I qualify for
membership by including a legible copy of the following with my application:
o Copy of lease for a residential
property on Marco Island with a term of not less than two consecutive months from a real estate agent or
Marco Island property owner. Lease must
contain name, address & telephone
number of landlord.
Dates
of Rental Period:
_______________________________________________________________________
Address
of Rental Property:
___________________________________________________________________
DO NOT SUBMIT
ORIGINALS.
o I also wish to join the Marco
Island Civic Association, therefore, enclosed is an additional $30, for a total
of $160. (MICA membership is $35. There is a $5 discount
given when Residents’ Beach & MICA memberships are purchased
simultaneously).
o I’d like to help pay down the mortgage for the new beach pavilion. I’ve
enclosed an additional _________.
This
application is subject to a three-day review period.
I understand that: 1)
Residents' Beach passes will be issued only to natural persons (not
corporations or trusts); 2) not more than one pass will be issued to any
resident; 3) fees are not refundable; 4) passes presented for entry will not be
honored if, upon identification check, it is determined that the individual
presenting the pass is not the individual to whom the pass was issued; 5) passes
are not transferable; and 6) a Residents’ Beach photo ID card may be made at
the MICA office upon presentation of required identification. As a member of the Residents’ Beach I waive
for myself and any of my guests any cause of action that may arise for damages
of any kind and matter. I understand
that any violation of membership rules and beach access regulations will be
grounds for cancellation of my membership.
Under penalties of perjury, I declare that I have read the foregoing
application and that the facts stated in it are true.
____________________ ___________________________________________________________________
(Date
of Application) (Signature of
Applicant)
Please print legibly
Name: ________________________________________________________________________________
Mailing Address:
________________________________________________________________________________
________________________________________________________________________________
Daytime phone
#:
__________________________________
Fax #: ___________________________________
E-mail address: __________________________________