MOB 2017 Membership Form



Membership Form

 Date: ___________________ Membership Year: 2017

 Membership Status – choose one

[ ] I am a new member.

[  ] I am renewing my current membership.  

[  ] I am a re-joining former member.


Billing preference -- choose one

[ ] Enclosed is $25 cash or check as payment made payable to "Men of Bentwater"  

[ ] Have Country Club bill my account for the amount of this year’s dues and yearly thereafter on my January/February Country Club statement. (preferred method)  

CC Member Number_____________ Signature:___________________________________

Member Information (please print)


 Mailing address:_______________________________________________Montgomery, TX 77356

 Telephone: (home)_______________________ Cell: _____________________

 E-Mail: __________________________________________

 Forward your completed membership form and your dues check (or selection of Country Club billing) to

Jerry Elder, Membership Chairman, 6 Westlyn Court Montgomery, TX 77356.

If you have any questions or comments, call Jerry at 936-597-6595 or e-mail Jerry at

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There are many opportunities in Bentwater to join social and service organizations requiring membership applications/forms.  For your convenience, we have provided membership applications/forms that you can print, fill out and submit to the respective organizations.  Many of these organizations have electronic membership applications/forms on their websites which can be found in the Clubs, Activities and Organizations tab under the 'About Bentwater' menu. 

You may also fill out on-line form directed to the Property Owners Association (POA) for reporting observed deed restriction violations or observed street and curb repair needs.  These forms will be directed to the appropriate staff member at the POA.


Clubs, Activities and Organizations

 Property Owners Association Reporting Forms

Community Information Portal Forms