TO THE ADMISSIONS COMMITTEE OF THE ASBURY CAMP MEETING CORPORATION

Chairman: Dirk Nims, 21 Essex Ave, S. Hamilton, MA 01982

Phone # 978-468-3015

PURCHASE AGREEMENT & LEASE REQUEST FORM

TO BE COMPLETED BY SELLER:

I wish to sell my cottage located at #________________Avenue, Asbury Grove, South Hamilton, Mass., to___________________________________________________whose address is _________________________________________________________________________________

Signed_____________________________________________________________________________

(Seller) (Date) (Phone)

TO BE COMPLETED BY PURCHASER: e-mail address____________________

Purchaser’s name:________________________________________________Phone________________

Address:_____________________________________________Social Security#___________________

E-Mail Address _________________________________________________________

Purchaser’s occupation:____________________________________How long? ___________________

Where employed:________________________________________ Phone______________________

Co-Purchaser’s occupation:________________________________How long?___________________

Where employed:_______________________________________ Phone______________________

Purchase price: $____________ Amount to be mortgaged* $___________

Number of years __________ Bank _________________________________

Church Membership:___________________________________________________________________

Location:____________________________________________________________________________

Name of Pastor:_________________________________________________Phone:________________

Please attach pastor’s letter of recommendation.

Church activities/participation:____________________________________________________________

References: (Not to include current owner of property)

Name___________________________________________________ Phone:________________

Address_______________________________________________________________________

Name____________________________________________________Phone________________

Address____________________________________________________________________

I authorize Asbury Camp Meeting through its agents or representatives to obtain credit information abot me. This authorization shall expire on _________________ .

I authorize Asbury Camp Meeting through its agents or representatives to obtain CORI information about me.

It is my/our understanding that the maintenance of Asbury Grove centers in the Methodist Camp Meeting and its several religious programs, and I/we pledge my/our participation in them.

I agree to become a member of the Cottage Owners Association, to practice in all reasonable ways an attitude of cooperation and friendliness, and to abide by the printed rules and regulations of the Asbury Camp Meeting Corporation.

Signed__________________________________________________Date__________________

(Purchaser/s)

Approved by____________________________________________________Date__________________

(Admissions Committee representative)

Lease authorized for_____________year(s). 10/02