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HAYWARD GOLF CLUB MEMBERSHIP APPLICATION – 2018
FAMILY:
*Golf:
*Range:
COUPLE:
*Golf:
*Cart:
*Range:
SINGLE:
*Golf:
*Cart:
*Range:

$1360.00
$ 250.00

!
!

$1295.00 !
$ 650.00 !
$ 225.00 !

TWILIGHT:
*Golf:

$ 499.00 !

YOUTH:
*Golf:
*Range:

$ 185.00 !
$ 85.00 !

LOCKER:
**Full Locker: $ 45.00 !
**Half Locker: $ 25.00 !

$ 775.00 !
$ 475.00 !
$ 175.00 !

HANDICAP FEE(s)
**( ) x $25 = $______

YOUNG ADULT (20-28 years old):
*Golf:
$ 399.00 !
*Cart:
$ 475.00 !
*Range:
$ 175.00 !

SOCIAL:

*$

!

50.00 !

OPTIONAL:
$ 20.00 !
**4TH of July Fireworks Donation
TOTAL AMOUNT DUE: **

$_______________

Check # ______________

LESS AMOUNT ENCLOSED:

$_______________

Cash: _______________

BALANCE DUE:

$ ______________*

Credit Card Type: ____________________
#:
_____________________________

* Sales Tax Not Included (5.5%)
** Sales Tax Included (Lockers, HDCP Fees, 4th of July Donation)

Expiration Date: ___________

ANNUAL DUES FOR GOLF, RANGE AND CARTS MAY BE MADE IN TWO EQUAL
PAYMENTS: THE FIRST PRIOR TO THE FIRST USE OF THE FACILITIES AND THE SECOND
BY JUNE 15TH. DAILY FEES WILL BE CHARGED WHEN DUES ARE IN ARREARS
Family/Couple/Single/Twilight INCLUDES $50.00 punch card for use at the Caddyshak Bar & Grill
E-mail Address: _______________________________________________________
(To be used for club purposes only)
Name(s):

____________________________________________________________________

Address:

____________________________________________________________________
____________________________________________________________________

Phone #:

_______________________

Cell # __________________________

PLEASE FORWARD THIS COMPLETED FORM AND REMITTANCE TO:
Hayward Golf Club – P.O. Box 1079, Hayward, WI 54843
Membership refunds may not be made after May 15, 2018