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: ___________
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Mailing Address: Petitcodiac Valley Golf & Country Club Inc.
PO BOX 2577
Petitcodiac NB E4Z 6H4