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Membership Application
Desired Membership Type:
*
Equity Membership
Non Equity Membership
Tennis Membership
Pool Membership (Currently Unavailable)
Social Membership (Currently Unavailable)
Applicant Name:
*
Birth Date:
*
Phone:
*
(
)
-
First three digits
Second three digits
Last four digits
E-mail:
*
Address:
*
U.S. ZIP code:
*
Employer Name:
*
Position Held:
*
Employer Phone:
*
(
)
-
First three digits
Second three digits
Last four digits
How long in this field (years):
*
Spouse Name:
Spouse Birth Date:
Spouse Phone:
(
)
-
First three digits
Second three digits
Last four digits
Spouse E-mail:
Spouse Employer:
Spouse Employer Phone:
(
)
-
First three digits
Second three digits
Last four digits
Position Held:
How long in this field (years):
Names and Birth Dates of children (under 23, unmarried and living at home):
Amenities Desired:
Men's Locker ($100 annually)
Women's Locker ($100 annually)
Club Storage ($150 annually per set)
Electronic Funds Transfer (no charge)
Annual Single Golf Cart Pass ($725 annually)
Annual Family Cart Pass ($850 annually)
Men's Association ($95 annually)
Women's Association ($25 annually)
Men's Handicap ($40 annually)
Women's Handicap ($40 annually)
Individual Range Pass ($190 annually)
Junior Range Pass ($140 annually)
Senior Range Pass ($150 annually)
Couple's Range Pass ($250 annually)
Family Range Pass ($300 annually)