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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)
- ______A. Payment in full: Cash/Check , check# __________________
- ______B. Payment in full: Credit Card Dues$___________________ , 3% Service fee$_____________ , Total $______________
- Credit Card Type: MC_______ Visa_______ DIS_______
- Credit Card Number:___________________ Exp_______
- ______ 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.
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