694 MAYFIELD ROAD

CLARION, PA  16214

 

2008 APPLICATION FOR MEMBERSHIP

 

 

NAME________________________________________________________________________________

ADDRESS_____________________________________________________________________________

CITY_____________________________________STATE________________ZIP___________________

HOME PHONE____________________________WORK PHONE_______________________________

 

TYPE OF MEMBERSHIP DESIRED:                    EMAIL ADDRESS___________________________

 

SINGLE                     BEFORE 12/31/07                01/01/08 - 3/15/08                   AFTER 3/15/08

(   ) FAMILY                     $850.00                                    $875.00                                  $900.00

(   ) MEN’S                        $625.00                                    $650.00                                  $675.00

(   ) LADIES                      $525.00                                    $550.00                                  $575.00

(   ) COLLEGE                  $300.00                                    $325.00                                  $350.00

(   ) JUNIOR                      $175.00                                    $200.00                                  $225.00

·         JUNIOR MEMBERSHIPS ARE RESTRICTED ON AVAILABLE TEE TIMES AND DAYS OF PLAY.  MUST BE UNDER 18.

 

THOSE REQUESTING FAMILY MEMBERSHIPS, PLEASE COMPLETE THIS SECTION.

SPOUSE’S NAME___________________________________________________________________

CHILDREN’S NAMES      _____________________________________________________________  AGE___________

                                                _____________________________________________________________  AGE___________

                                                _____________________________________________________________  AGE___________

 

 

CORPORATE  (REQUIRES AT LEAST FIVE MEMBERS FROM THE SAME COMPANY)

(   ) FAMILY                     $775.00                                    $800.00                                  $825.00

(   ) MEN’S                        $600.00                                   $625.00                                  $650.00

(   ) LADIES                      $500.00                                    $525.00                                  $550.00

 

ALL CORPORATE MEMBERSHIPS MUST BE TURNED IN AT THE SAME TIME.  AN APPLICATION MUST BE SIGNED BY EACH INDIVIDUAL.  FEES MAY BE PAID BY ONE COMPANY CHEK OR BY INDIVIDUAL CHECKS, PROVIDED THEY ARE ALL SUBMITTED WITH THE APPLICATIONS.  PLEASE BE SURE THAT THE EMPLOYER OR AN AUTHORIZED COMPANY OFFICER SIGNS EACH APPLICATION.

 

THOSE REQUESTING CORPORATE MEMBERSHIPS, PLEASE COMPLETE THIS SECTION:

 

COMPANY NAME_______________________________________YOUR POSITION_______________________

TYPE OF BUSINESS_____________________________________________________________________________

ADDRESS__________________________________________________CITY_______________________________

STATE________________ZIP___________________PHONE NUMBER___________________________________

AUTHORIZED OFFICER’S SIGNATURE____________________________________________________________

 

CART MEMBERSHIPS   (TAX INCLUDED)

(   ) FAMILY                     $932.80

(   ) SINGLE                      $757.90

 

AMOUNT SUBMITTED $________________ (MAKE CHECKS PAYABLE TO CLARION OAKS GOLF CLUB)

 

SIGNATURE OF APPLICANT____________________________________________                DATE___________________________