Lake Doster Golf Club

Membership Application

This is a printable application form. Please enter the information requested, print the form, sign and mail it, along with your check or money order payable to Lake Doster Golf Club, to: Tim Hartson, Lake Doster Golf Club, 116 Country Club Blvd., Plainwell, MI 49080 or fax it to Tim Hartson, Lake Doster Golf Club at (269) 685-1033.

I hereby make application for membership at Lake Doster Golf Club for the 20____ golf season.
Name of Applicant Name of Spouse
Name of Children
Home Address Billing Address
City City
State State
Zip Zip
Home Phone Bus Phone
Cell Phone Membership Type
–select category–Full SingleFull Single w/ CartFull Husband & WifeFull Husband & Wife w/ CartPreferred Rates SinglePreferred Rates H/W
E-Mail Address
Total Amount Enclosed Check Number
I authorize all names listed to sign on my member account and I take full responsibility for any of their charges.I understand the the Club is not responsible for loss or damage of any member’s equipment used or stored at the Club. I will look to my own homeowner’s policy for any claims.

I agree to always register at the Pro Shop before teeing off.

Children who have not passed the playing proficiency test must be accompanied by a parent. Children must be at least 16 years of age to operate gas carts.

NOTE: 1-1/4% monthly charge on all balances over 30 days. All restaurant and bar charges automatically have a 15% gratuity/service fee added. Additional tip at member’s discretion.
Signature of Applicant

______________________________________

 Date

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