Date________________________

GOLF MEMBERSHIP CLASSIFICATIONS                                   

Single_______              Single Weekday_______              Husband/Wife_____                                             Senior (62 +)_____            Senior Weekday______             Senior Husband/Wife_____                   Corp #1 (50 passes)______            Corp #2 (100 passes)______          Weekend/Holiday______   Junior <24______           20 Rounder______        Non-Resident______

 Golf season is April 1, 2008 to March 31, 2009.

Annual Dues paid monthly will be automatically drawn via your credit card.
Please complete the reverse side of this form to authorize your credit card.
Member Walking permitted; no personal Carts, walk or ride.
Dues & Registration are non-refundable.

Members who pay annual dues monthly are obligated for 12 payments. Regardless of reason, if terminating membership early, pay three month’s dues termination fee.

Title…..….....First Name………….....……….M.I….…..…Last Name…..………..…………………….….
Mailing Address……………………..…………………………………...………Apt. No……..…………...
City………………………………..………………..….State………….………Zip…..…………..…………D .O.B…..……………What is the distance between your residence and Running Deer?__________miles
Phone #’s Cell…………….………. Office………………………..Ext…...…  Home……………………..
E-mail…………..……………….………..………………………   (For billing & updates)Marital Status : Married_______ Single_______         Spouse’s Name………………………….………….
*Husband/Wife or Corporate classification; each person please fill out separate application*
Applicant’s Occupation/Business/Profession…………………………………………Retired……….…..
Name of Company……………………………………………..………Title………..………..……………...
Address……………………………………………..………………Suite No….…..…………………….….
City……………………………..…………..…………State………………….…Zip……………………….. USGA Index………….…………Handicap…..………….………Average Score………..…………………
If you have been informed three times of slow play at Running Deer Golf Club, would you gracefully accept a prorated refund of all fees and resign your membership?……………………..
Have you read and agree to the above information? …………………………………..

 Your Honored Signature__________________________________________________________

 Internal Use Only
Membership #_____________Date of Induction_________ Membership Fee_________Payment Method_________

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