2023 60 or 30 point membership Application

PETERBOROUGH GOLF 60 or 30 point Membership Application


Your Name

hereby apply for the following membership

Price Table


Please select an option below. (To select, please click on the box for options)


Club Storage Seasonal Fee

Club Storage with Pull Cart

Seasonal Locker

Power Cart: Single Seat Power Cart Unlimit

Member Information

Street Address

Street Address Line 2



Postal Code


Payment Information
(A 2.25% surcharge will be applied to any balances processed via credit card)
(No Surcharge. Email: Deanna Hayes. Payment to be made at time of submission.)

Member Acceptance & Agreement

Please fill in your initials to identify the acceptance of the following statements.

In the event of a delinquent account as per our club bylaw 5.3.2. “Any Member that shall neglect or fail to pay the prescribed Annual Fee, the initiation Fee, any assessment levy, house account or any other indebtedness to the Club for more than sixty days after the same shall be due, the Board may, without notice, withdraw all privileges of such member.”

Any indebtedness past 60 days, the club has the right to charge my credit card plus 2.25% service charge to avoid the withdrawal of my privileges.

I have read and understand the terms and conditions of the past 60 days indebtedness, as indicated above.

I understand the details of all applicable initiation fees submitted with this application.

I understand the details and promise to pay all annual dues/fees/assesments that are applicable to my membership.

I understand the details of House Minimums (food & beverage purchase) scheduled for this application.

I understand to follow all By-Laws and Regulations of the Club and any other resolutions passed by the club.

By submitting form, I verify that all statements on this application are true.