MEMBERSHIP APPLICATION FORM

Please fill in the form, below. Sections with an asterisk must be completed.

Name

First Name

Last Name

Email Address

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Previous Golf Club

Current Handicap (if applicable)

Type of membership

Please select one.

Full men's or women's: $450

Summer membership: $225

Schoolboy or schoolgirl: $25

Junior (under 19): $100

Young Adult: (19-25): $160

Associate: $190

Date of Birth (if Junior/Young Adult/School membership)

YYYY