Peterborough Golf & Country Club

New Member SOCIAL MEMBERSHIP APPLICATION

New Member Social Membership $430.00 (plus HST)
(A 2.25% surcharge will be applied to any balances processed via credit card)

MEMBER INFORMATION

First Name

Last Name

Street Address

Street Address Line 2

City

Province

Postal Code

Payment Information

VISA

Mastercard

Credit Card Number

Expiry date

CVV

Name on card

Phone Number

E-transfer (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 and promise to pay all annual dues, food & beverages charges that are applicable to my membership and charge account.

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. Please hit the submit button only once. You will receive a notice once the form is accepted.