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 | $________ | |||||||
| ||||||||
|
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