Membership Information Request Form

First Name		Last Name
First Name		Last Name
Home Address
City		Postal Code
Phone #		Email
Comments
Please select any packages you are interested in
BEFORE MARCH 31ST   AFTER MARCH 31ST     Rate HST Total Rate HST Total   ADULT MEMBERSHIP $800 $104 $904   $850 $110.50 $960.50 SPOUSAL MEMBERSHIP $1500 $195 $1695   $1575 $204.75 $1779.75 INTERMEDIATE (18-25) $500 $65 $565   $530 $68.90 $598.90 JUNIOR (17 UNDER) $150 $19.50 $169.50   $175 $22.75 $197.75 POWER CART $425 $55.25 $480.25   $450 $58.50 $508.50

*Please note that this form is not secure please do not include any credit card information.*