FOUR WINDS CAMPGROUND AND GOLF RESORT

2350 Skinkers Neck Rd
Rappahannock Academy, VA 22538

Digital Complaint Form

 

Request A Payment Plan

"*" indicates required fields

Member Name(s)*

In accordance with The Four Winds Club, Inc. Declaration of Covenants, Conditions and Restrictions, approval from the Board of Directors is necessary to make payment arrangements other than an ‘in full’ payment by the first of the year (January 1st). If approved, I understand that quarterly payments are due on the first day of each quarter (January 1st, April 1st, July 1st, October 1st). There will be a $40.00 per year administrative fee for quarterly payments. If a request is not submitted and/or is not approved by the Board of Directors, your account shall be considered delinquent if it is not paid in full by January 1st of the year the dues are owed. Any payment received that is inconsistent with an agreed upon payment plan will be accepted without prejudice to the Club’s rights.

In accordance with The Four Winds Club, Inc. Declaration of Covenants Conditions and Restrictions: Article V: Section 2:

(b): Annual Dues are due and payable in advance for the year levied (Due January 1st of each year) and may be paid quarterly (January 1st, April 1st, July 1st, October 1st) only if it is requested in writing by filling out and turning in a request form to the office by or before November 1st and must be approved by the Board. The Annual Dues shall be such amounts as the Board of Directors of the Club may fix, from time to time; provided, however, that the Annual Dues fixed and billed against a Member incident to his ownership of a particular Holiday Site may not be increased during the one (1) year period for which such dues were fixed and billed in advance.

Request to pay:*

NOTE: Any payments not received after fifteen (15) days of the date the payment is due will result in this agreement being considered null and void and the payment plan shall be rescinded. Any dues not paid after fifteen (15) days past due shall bear interest from the date of delinquency at a rate of twelve percent (12%) per annum and shall be added to the account. The remaining account balance shall be due in full within thirty (30) days of that date. Any and all remaining outstanding balances for dues must be paid within thirty (30) days of the date of the missed or late payment or the lot(s) may be subject to suspension of services (electricity/water) until such time as the account is paid in full including the disconnection and reconnection fee if services have already been suspended. After such time, the Club may pursue legal action at law or in equity against the member.

No person may “carry over” a balance from the previous year or a payment plan request shall be automatically denied. The account must be paid in full by November 1st of the current year to be eligible for a payment plan for the following year. Any payment(s) received that are inconsistent with an agreed upon payment plan will be accepted, but without prejudice to the Club’s rights. No payment by any member, whether partial or recurring, shall be considered a valid or authorized payment plan. All payment arrangements shall not be valid or authorized without prior written approval by the Board of Directors.

ALL PAYMENT REQUESTS SHALL BE SUBMITTED IN WRITING BY OR BEFORE THE 1ST OF NOVEMBER OF THE CURRENT YEAR FOR THE NEXT YEAR’S DUES. ANY PAYMENT REQUESTS SUBMITTED AFTER THIS DATE SHALL BE AUTOMATICALLY DENIED.

Electronic Signature Disclaimer:

If signing electronically, you agree to all terms and conditions as stated and by typing your name, hereby agree to adhere to the terms of this agreement.

By typing my name and selecting the “Submit” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By entering my name and selecting “Submit” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of another person, I affirm that I have the legal authority to act for and enter into this agreement and warrant that I am the person’s legal representative in such matters.

I may decline to electronically sign this document and withdraw my consent to sign this document electronically by contacting the signature requestor directly at clubadmin@clubfourwinds.com, which may delay transactions. I may contact the signature requestor separately to request to sign this document on paper or to receive a paper copy of the signed document. Any fees for such paper copy will be charged then by the signature requestor. When I sign the document, I will receive a copy of this document via email once the Board of Directors has reviewed it and come to a decision. I will be able to access this electronically signed document in my account by contacting the office in person, via phone, or by email at clubadmin@clubfourwinds.com and requesting a copy.

MM slash DD slash YYYY