PINE GROVE SPRINGS COUNTRY CLUB, INC.
PO BOX 56, 292 Route 9A
SPOFFORD, NH 03462
Phone: 603-363-4433 Winter: 603-399-4886 or 603-398-7149
E-mail: golf @ pgscc.com Website: www.pgscc.com
| Name | MEMBERSHIP FOR 2010 |
| Address | New / Renewal (circle one) |
| City, Zip | Phone |
| Description | Price | Amount |
|---|---|---|
| FAMILY MEMBERSHIP - includes children age 12 and under
(Born after 1/1/98) List names and birth dates of children below | $750.00 | $_______ |
| SINGLE MEMBERSHIP | $510.00 | $_______ |
| SINGLE MEMBERSHIP WITH KIDS - includes children age 12 and under (Born after 1/1/98). List below | $550.00 | $_______ |
| JUNIOR MEMBERSHIP - Up to and including 18 years of age
(Born after 1/1/92) | $109.00 | $_______ |
| COLLEGE AGE MEMBERSHIP Up to age 23 ( Born after 1/1/87) | $250.00 | $_______ |
| USGA HANDICAP ($40 after May 15) Required of all adults to
play in any tournament. Juniors may receive a free handicap. | $35.00 | $_______ |
| PRIVATE GOLF CAR FEE | $310.00 | $_______ |
| Second Driver Fee | $105.00 | $_______ |
| SEASON GOLF CAR PASS (Single - Non-transferable) | $500.00 | $_______ |
| (Family - Either spouse may drive) | $650.00 | $_______ |
| EARLY BIRD DISCOUNTS ($50.00 OFF family or single adult if
Paid by January 15, 2010) | (-$50.00) | $_______ |
| EARLY PAY DISCOUNTS ($25.00 discount on Family or
Single Memberships if paid by March 15, 2010) | (-$25.00) | $_______ |
| $10.00 discount on Private Car Fee if paid by March 15) | (-$10.00) | $_______ |
| NEW MEMBER DISCOUNT ($50 off Single or Family
Membership if not a member last year.) | (-$50.00) | $_______ |
| McDonough Scholarship Donation ($10 suggested) | $_______ | |
| TOTAL | $_______ |
| Children: | Name_________________________________, Birth Date__________ | Name_________________________________, Birth Date___________ | Name_________________________________, Birth Date___________ |
To reserve the same Private golf car space as last year, please pay by March 15.
Please return this whole form. You will receive a member card and receipt by return
mail. Make any corrections on address label above. Add your phone and e-mail address.
NEW MEMBERS PLEASE SIGN BELOW
I agree to abide by the rules and regulations of the Club subject to suspension
or dismissal for violation thereof.
Signature of applicant _________________________
New Member Recommended by ____________________________________________