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____________________
Purchasers name:________________________________________________Phone________________
Address:_____________________________________________Social Security#___________________
E-Mail Address _________________________________________________________
Purchasers occupation:____________________________________How long? ___________________
Where employed:________________________________________ Phone______________________
Co-Purchasers 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 pastors 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