Membership Application Form

Petitcodiac Valley Golf & Country Club

 

1)      ________________________________________________   DOB________________

2)      ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________________________   DOB  _______________

 

Address __________________________________    Email ________________________________

              __________________________________       Postal Code ___________________________

Town ____________________________________    Telephone #­­­­­­­­­­­­­­­­­­­____________________________

Hereby makes application for membership to the Petitcodiac Valley Golf & Country Club Inc.

A)     Initiation Fee _______________

B)      Playing Membership _________

C)      Junior Membership __________

D)     Associate Membership _______

E)      New Membership ___________

F)      Reciprocal Membership ______

Applicant signature______________________________

Signatures of sponsoring members

1)      ________________________________           2) ___________________________________

Previous member of a golf club? ______ (Y/N)

If yes, name the club ____________________________________________________

Handicap: ___________

Approved by the Executive: Date: ___________________________                                            President: ____________________________                                                                                                                 Secretary: ____________________________

                                

 Mailing Address: Petitcodiac Valley Golf & Country Club Inc.

                                PO BOX 2577

                                Petitcodiac NB E4Z 6H4