Membership Application for 2008

Please print this page, fill it out, and return with a check to the address below.

New / Renewal (circle one)

Name _______________________________________________

Address ____________________________________________

____________________________________________________

____________________________________________________

Phone ______________________________________________

Email WE NEED THIS PRINT CLEARLY______________________________________________

Description Price Amount
FAMILY MEMBERSHIP - includes children age 12 and under
        (Born after 1/1/96)
        List names and birth dates of children below
$715.00 $________
SINGLE MEMBERSHIP $495.00 $________
SINGLE MEMBERSHIP WITH KIDS - includes children
        age 12 and under (Born after 1/1/96). List below
$515.00 $________
JUNIOR MEMBERSHIP - Up to and including 18 years of age
        (Born after 1/1/90)
$109.00 $________
COLLEGE AGE MEMBERSHIP Up to age 23 ( Born after 1/1/85) $245.00 $________
USGA HANDICAP (Required of all adults to play in any
        tournament. Juniors may receive a handicap for no charge.)
$30.00 $________
PRIVATE GOLF CAR FEE $310.00 $________
        Second Driver Fee $105.00 $________
SEASON GOLF CAR PASS (Single Non-transferable) $475.00 $________
        (Family - Either spouse may drive) $625.00 $________
EARLY PAY DISCOUNTS ($25.00 discount on Family or
        Single Memberships if paid by February 15, 2008)
($25.00) $________
        ($10.00 discount on Private Car Fee if paid by February 15) ($10.00) $________
NEW MEMBER DISCOUNT ($50 off Single or Family
        Membership if not a member last year.)
($50.00) $________
  TOTAL $________
Children:Name_________________________________, Birth Date___________
 Name_________________________________, Birth Date___________
 Name_________________________________, Birth Date___________

    Private golf car spaces are available this year. To reserve the same Private golf car space as last year, please pay by March 1. 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 ____________________________________________

 

Return with Check To:

Pine Grove Springs CC
P.O. Box 56
Spofford, NH 03462

Or Call For Information: 603-363-4433