Membership Application

Desired Membership Type

Family GolfRegular GolfAssociate (female) Golf MemberHouse

Personal Information

Name:

Address:

City:

State:

Zip Code:

Length of time at current address:

Home Phone Number:

Birth Date:

Email Address:

Spouse's Name:

Maiden Name:

Birth Date:

Anniversary Date:

Marital Status:

SingleMarriedDivorcedWidowed

Please list your unmarried children under the age of twenty-two

Name:

MaleFemale

Name:

MaleFemale

Name:

MaleFemale

Business Information

Applicant's Occupation and/or Nature of Business or Profession:

Retired:

Name of Company:

Title:

Business Address:

City:

State:

Zip Code:

Years of Present Employment:

Email Address:

Business Phone Number:

Business Fax Number:

Spouse's Occupation and/or Nature of Business or Profession:

Retired:

Name of Company:

Title:

Business Address:

City:

State:

Zip Code:

Business Telephone Number:

Business Fax Number:

Years of Present Employment:

Email Address:

Do you play golf?

How long have you played?

USGA Handicap:

Does your spouse play golf?

How long have they played?

USGA Handicap:

Reference Information

Please list membership in other Clubs, fraternities or organizations and positions held:

Have you ever been proposed for membership in this or any other Club and been rejected or had your application withdrawn? If so, please explain:

Have you or your spouse ever pleaded guilty or been convicted of a crime? If so, please explain:

I am acquainted with the following Deal Golf & Country Club Members

Name:

Years Acquainted:

Name:

Years Acquainted:

Name:

Years Acquainted:

Please list an existing bank reference

Name of Institution:

Telephone Number:

Fax Number:

Please list two credit references

1.

2.

Authorization

By submitting this application for membership at Deal Golf & Country Club, I hereby authorize Deal Golf & Country Club, through its representatives, to make inquire of my financial condition, our family and professional background and specifically authorize them to make inquiry of consumer credit reporting organizations, Divisions of Motor Vehicles and those charge with maintaining criminal records.

I do hereby acknowledge, accept and understand that I have truthfully and to the best of my ability answered all application questions. If my application for membership is granted, I agreed to observe and be bound by the By Laws and Rules and Regulations of Deal Golf & Country Club in the present form or as my be amended.

Applicant:

Date:

Spouse:

Date:

Please fill out the Membership Application. We will review your application upon completion.