Application For Membership

(Must be completely filled out)

Name in full (Print or Type)

Class of Membership: c Corporate c Family c Single

Marital Status: c Single c Married Name of Spouse _____________________

Age_____________ Date of Birth________________

Residence Address ____________________________________________________________

Street

___________________________________ Residence Telephone ( )____________________

City Zip code

List Residences and dates (Previous Two, if less than 5 years)

Street City Zip Code Dates Resided

If accepted for membership,

Mail Monthly Statement To (Residence, E-Mail or Business):___________________________

Firm Name___________________________________________________________________

Business Address ____________________________________________________________

Street

___________________________________ Business Telephone ( )____________________

City Zip code

Email______________________________

Your Position__________________________________________________________________

Nature of Business______________________________________________________________

Membership in other Clubs:

Name of Club Address Date

Do you play golf regularly? _______ Where_________________ How often________

Does your Spouse:

Play golf regularly? _______Where_________________ How often________

Family Consists of:

Name Relation Birth date Age Handicap

____________________ ________________ __________ ________ _________

Please give the names of at least three financial References (Including at least one bank) of whom inquiries may be made. (Do not use credit cards or merchants.)

Name Address

I hereby apply for membership at Castle Creek Golf Course and agree, if elected, to abide by the by Laws of the Club and that tenure of membership should be in accordance there to.

The undersigned certifies that the above information is correct to the best of his/her knowledge.

Date________________________ ______________________________________________

Signature of Applicant

Date________________________ ______________________________________________

Signature of Applicant

Do not write in this space:

Date Application Received______________________________________________________

Endorsements:________________________________________________________________

Membership committee Approved________________________________________________

Inanition Fee Received______________________________________$__________________

Date / By

Additional Notes