Request Membership Information

Request Membership Information

First Name:

Last Name:

Address:

City:

Province:

Country:

Postal Code:

Tel:

Email:

Office Tel:

Cell:

Chalet Cabin Cottage

First Name Spouse:

Last Name Spouse:

Spouse Office Tel:

Spouse Cell:

Spouse Email:

I am interested in:	Mid-Week Trial Fully Paid Payment Plan All Plans

I would like to receive the Information Package and be contacted by:	Email Phone Courier

I will contact you after I reviewed the Package:	Check for Yes

I would like Read to contact me at his earliest convenience:	Check for Yes

I would like my Spouse copied on our emails and various Plan attachments:	Check for Yes.

May I play the course on (Enter a date and time that you would like to play):

Following are some optional details of myself, my family, our interest in golf, and our living location(s):