Harrison Hills Golf & Country Club

Annual Membership Application/Renewal Agreement

To download application click here.

Name ________________________________________ Birth Date_______________

Spouse's Name________________________________ Birth Date_______________

Please list below all additional family members who will be using the facility.

Names and Birth Dates: __________________________________________________________________________________________________

Address____________________________________City Zip ________________________________________

Home Phone______________________ Business Phone_______________________

Employer Email address ___________________________

This ANNUAL APPLICATION AND AGREEMENT is made and entered into by and between Harrison Hills Golf and Country Club, hereinafter called the “club” and the above named applicant(s) , including spouse if applicable, hereinafter jointly called and severally called the applicant(s) or the member(s) , and witnesses that in consideration of the promises on the part of the club and the applicant(s)/member(s) and they both agree as follows:

  • 1. This annual membership is for the current calendar year 2007. This membership must be renewed on an annual basis.
  • 2. The applicant shall pay the total sum of annual dues via one of the following three ways: (please check applicable selection)
  1. ______A. Payment in full: Cash/Check , check# __________________
  2. ______B. Payment in full: Credit Card Dues$___________________ , 3% Service fee$_____________ , Total $______________
  3. Credit Card Type: MC_______ Visa_______ DIS_______
  4. Credit Card Number:___________________ Exp_______
  5. ______ C. 25% of total dues owed: * Remaining balance to paid in monthly installments. Payments are due by the 30 th of the month, with balance to be paid in full by July 31 st .

Dues Paid $__________, Remaining Balance $__________

  • 3. Upon submission and acceptance of this application, the applicant shall immediately become a member of the club and shall be entitled to the full rights and privileges of membership and be subject to the rules and regulations of the club.
  • 4. This application/agreement is a binding contract and the parties agree to be bound by the terms hereof.
  • 5. The member releases the club of all responsibility and liability and the member accepts all responsibility and liability for payment of damages to property and/or persons caused by or to the member.

Date of application _______________

_____________________________ ______________________________

Applicant's Signature / Spouse's Signature

 

Harrison Hills Golf & Country Club

Annual Dues and Available Services

 

2008 Golf Memberships: Full Memberships include: Pool, Tennis & Social

  • _____ Regular Family……………………………………. $1000.00
  • _____ Regular Single…………………………………….. $800.00
  • _____ Senior Family ………- Weekday ONLY -….…… $825.00
  • _____ Senior Single ……….- Weekday ONLY -………. $675.00
  • _____ Non Resident …….(must live outside 50 miles)…. $675.00
  • _____ Student Golf Membership…(restrictions apply)..... $200.00

Non-Golf Memberships: Pool, Tennis and Social

  • _____ Family……………………………………………. $400.00
  • _____ Single ……………………………………………. $350.00
  • _____ Social ……………………………………………. $85.00

Golf Cart Memberships: Only available with Annual Golf Membership

  • _____ Unlimited Cart Program…………………………. $700.00
  • _____ Private Cart Program(not available to new members)$550.00

*You must be at least 16 years old with a valid driver's license to drive a golf cart.

Additional Membership Services: These services can be added at any time.

  • _____ USGA Handicap……………………………………$30.00
  • _____ Locker Rental………………………………………$25.00
  • _____ Golf Bag Storage…………………………………$40.00
  • _____ Range Program, Unlimited…………………$250.00

$_______________ Annual Dues

$_______________ Golf Cart Membership

$_______________ Additional Services

$_______________ Total Dues Owed

*Please return your completed application to Joel Baumgardner , PGA Professional @ the Golf Shop or Pam Lambka @ P.O. Box 60, Attica , IN 47918. If you have any questions, please call the Golf Shop (765)762-1135.