Golf Academy Membership Application

Please fill out and submit the form below for your Golf Academy Membership. The Meadows requires a credit card number for payment.

Please provide the following contact information:
Required fields are indicated by an *.
Either Work Phone or Home Phone can be entered.

First Name *

Last Name *

Street Address *

Address (cont.)

City *

State/Province *

Zip/Postal Code *

Work Phone *

Home Phone *

E-mail

	Price Each	Quantity
Academy Membership	$275.00
Academy Membership additional family members: Spouse + Dependents Only	$100.00

Family Academy Membership	$475.00

Member Special: Purchase 4 rounds of golf with 1/2 cart These may be used anytime except Saturday morning.	$125.00

Junior Academy Membership	$175.00
Junior Academy Membership additional family members: Siblings Only	$100.00
(Special golf rates apply to Junior Members, Mon. - Thur. before 11:00am)
Names for additional Memberships:

Please make tee times in advance when using your membership.

Please enter your credit card number:

BILLING

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Notes or Comments: