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101 Town Center • Bella Vista, AR 72714-2403 • Phone:
(479) 855-8000 Fax: (479) 855-8006
APPLICATION FOR GUEST CARDS (Please Print)
Sponsor's Name: _________________________________________________
Member # ____________________ Sponsor's Subdivision-Block-Lot: ______ - ______ - _______
Trust # ____________________ (if applicable) Beginning Date: ________________ EXPIRES
90 DAYS FROM START DATE
Guest's Name (first & last)
City & State
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
_____ I will wait while my cards are being printed
Mailing Address:
_____ Cards will be pick up in Will Call at the __________________________________
Membership Services
Department, under __________________________________
the sponsors name. __________________________________
_____ Please mail to the address shown at the __________________________________
right.
_____ Leave in the outside foyer after hours.
Guest cards are required for use at
all POA facilities and guests must pay the “lake use fee” to use any
of the Bella Vista’s lakes, except when the guest is accompanied by
a member with a current POA-issued photo identification card.
When a guest is accompanied by a POA member and that guest does
not have a guest card, then the accompanying POA member must sign in his guest on the facility guest
register, which will be located at the reception desk of each
POA facility. If at any facility without a guest register, such
as a POA lake, the member must provide the names of each of
his guests to a POA Ranger or other POA staff. I understand that I am responsible for my guest's compliance with
all POA Rules and Regulations which are in effect at the current
time. In the event that my guest(s) may damage any POA property, I will
be responsible for all expenses incurred.
_________________________________________________________________________
Sponsor's Signature
Rev. 02/13
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