| Temporary Notice | Please fill out this form to be placed on the list and we will contact you for a season membership. Please see our membership page for fees and dues. |
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| New Member Application | NOTE Please fill out this form, including the type of membership in which you are interested. We will contact you regarding the next steps for joining and payment. If someone referred you to the club, be sure to list their full name at the bottom of this page in order for them to receive a thank you for the referral! |
| Membership Type | PROMOTIONAL: An Introductory Membership consists of a cohabitating couple or an individual, who have not held a membership with Westwood (with the exception of a Special Membership) in the last 5 years, with children under twenty-two (22) years of age, who are residing with such person(s). |
| Your Name | Mariana Burgos |
| Address | 8 Herbert Ave White Plains, New York 10606 Map It |
| Home Phone | (917) 468-8224 |
| Mobile Phone | (917) 578-5923 |
| Email hidden; Javascript is required. | |
| # of Family Members | 6 |
| Spouse/Partner Name | Edis Burgos |
| Children - Names and Dates of Birth | Benjamin Burgos 2/10/2014 |
| How did you hear about Westwood? | Neighbor |
592 Columbus Ave. Thornwood, NY. 10594
914-769-4577 (Memorial Day to Labor Day only)