Click below for site information:

ANNUAL MEMBERSHIP OPTIONS

**(After Introduction Fee)**

Option	Access	Monthly Dues	Annual Cost
Full	7 days a week	Single: $165 incl tax Family: $195 incl tax	Single: $1980 incl tax Family: $2340 incl tax
Full	5 days a week	Single: $107 incl tax Family: $129 incl tax	Single: $1284 incl tax Family: $1548 incl tax
Pool Pass-5 Month	Use of Pool (May-Sept)	$48 incl tax per person	$240 incl tax –May thru Sept. per person
Inactive	Hold a membership until active participation in club commences.	$89 incl tax	$1068 incl tax

Benefits Applicable to All Full Golf Membership Options Above:

• No Green Fees: Pay only a cart fee $15 per person (includes tax)
• Advanced Tee Time Privileges:  Members may make tee times 14 days in advance
• Opportunity to join the Men’s and Ladies Golf Associations of the club.
• Range Program: Unlimited use of practice facilities available for additional annual fee ($240-Individual, $300-Family)
• USGA Handicap: Available for additional annual fee ($20.00)
• Charging privileges in our Golf Shop and Food & Beverage area.

MEMBERSHIP APPLICATION

Type of Annual Membership applied for: (Please circle one)

FULL MEMBERSHIP-7 Day

MONTHLY DUES    

❑ Single $165 incl tax ❑ Family $195 incl tax

FULL MEMBERSHIP-5 Day

MONTHLY DUES    

❑ Single $107 incl ❑ Family $129 incl tax   

Applicant Billing Information

Name ________________________________________________      Social Security Number ___________________    Birth Date _________________

Employer ______________________ Occupation _____________ Drivers License State / #     ______              

Work ____________________________  Cell Phone __________________ Home Phone _______________________

Email address: ________________________________________________________________________________________

Spouse _________________________________     Social Security Number   ____________________                         Birth Date   _________________

Employer _________________ Occupation __________  Drivers License State / # _______________            

Work ______________________________Cell Phone __________________________ Home Phone _______________________

Email address ___________________________________________Anniversary Date___________________________________

Home Address_____________________________________________ City_____________________ State___ Zip __________

Mailing Address (where all billing and member correspondence should be mailed):

__________________________________________________City_____________________ State___ Zip __________

Name & Phone number to contact in case of

emergency________________________________________________________

Name & Phone number to contact in case of emergency NOT LIVING IN YOUR HOUSEHOLD: 

________________________________________________________            

❑ I hereby authorize Glenlakes Golf Club to send messages and updates to the provided e-mail addresses.

Authorization

❑ I hereby authorize Glenlakes Golf Club to charge to the following credit card account for the Annual Pre-Paid Fee (see above) associated with this Membership. (Optional)

 ❑ I hereby authorize Glenlakes Golf Club to charge to the following credit card account for any Dues, Fees and Charges associated with this Membership.

(Initials required) _______

Type of card:

 ❑ American Express      ❑ Visa          ❑   MasterCard  ❑Discover

Name on Card: ________________________________________________________________

Card Account #____________________________________Expiration Date: _______________

Authorized Signature: ____________________________ VPN# ____________________________ Date: ___________