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Georgetown Country Club Membership Application
By completing and submitting the form below, your application will be reviewed by the Board of Directors for membership consideration.
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Spouse/Partner
(Required)
Yes
No
Spouse Name
First
Last
Spouse Phone
Spouse Email
Spouse Date of Birth
MM slash DD slash YYYY
Spouse Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Children
(Required)
Yes
No
Child Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Membership Category
(Required)
Heritage Membership - $5,000 Initiation Fee (One-time Fee) - $350 Monthly Dues + $40 Monthly Capital Improvement Fee
Young Executive Membership (44 years of age and younger) - $3,000 Initiation Fee (One-time Fee) - $315 Monthly Dues + $40 Monthly Capital Improvement Fee
Weekday Membership - $1,000 Initiation Fee (One-time Fee) - $265 Monthly Dues + $40 Monthly Capital Improvement Fee
Sports Membership - $750 Initiation Fee (One-time Fee) - $175 Monthly Dues + $25 Monthly Capital Improvement Fee
Social Membership - $500 Initiation Fee (One-time Fee) - $120 Monthly Dues + $25 Monthly Capital Improvement Fee
Please select the membership category in which you desire to join.
Credit Card Information
VISA
MasterCard
AMEX
Discover
Credit Card Number
Expiration Date
MM slash DD slash YYYY
CCV Number
Billing Zip Code
Mailing Preference
(Required)
Email
Regular Mail ($2 Per Month Service Fee)
Default and Late Payments Policy
(Required)
I agree to the policy.
The account is considered past due after fifteen (15) days if not paid in full. A late fee of $25 will be assessed every 15 days the account is past due. As a result of being past due, all voting privileges and participation in GCC activities are terminated until the account is paid in full or with special permissions granted by the Board of Directors with advice from the General Manager.
For accounts 30 days past due - restrictions of charges to member account (no charging privileges)
For account 60 days past due - termination of membership privileges and forfeiture of stock in accordance with Article V, Section 1 of the Georgetown Country Club by-laws. This rule is applicable to all members (active & past).
Billing Policy
(Required)
I agree to the policy.
Members will be billed on a monthly cycle. Prompt payment for all charges is appreciated. A member’s account is considered past-due if payment is not received by the 15th of the month. Should a member’s account enter past-due status, any promotional pricing will be forfeited by said member for the duration of the contract.
Cancellation of this contract during a promotional period will result in all remaining dues and fees for the period being charged on the cancelling member’s final statement, which must be paid prior to the membership being officially terminated. After any promotional period has ended, the Membership will revert to non-discounted dues and fees pricing on a month-to-month agreement. A 30-day written notice is required prior to any request for cancellation of membership being processed.
Stock Information
(Required)
I agree to the policy.
A share of stock in the Georgetown Country Club shall be valued at $150.00; a refund of $100.00 will be made on a surrendered share when it is resold by the club.
Food & Beverage Minimum Policy
(Required)
I agree to the policy.
A food & beverage minimum expenditure of $30 a month or $90 per quarter is in effect for all membership categories. Each membership is required to spend a minimum of $90 per quarter on food and/or beverages. All sales are recorded by member number. Upon quarterly calculation, should a member’s account fall short of the $90 minimum spend for the period, the difference between the actual amount spent and the $90 minimum will be billed to the member’s account.
By-lays & Rules and Regulations
(Required)
I agree to the policy.
All Membership Categories are subject to Georgetown Country Club By-Laws and Rules & Regulations.
I have received and read the GCC By-Laws and Rules & Regulations and agree to abide by them. I also understand that these are subject to change.
Monthly Billing
(Required)
I agree to the policy.
Monthly Statements will be sent out on the 1st of each month via e-mail or regular mail. Dues, Capital Improvement Fees, and all other charges incurred by the member during a billing cycle will be collected from the Credit Card kept on file, or by direct payment via cash or check to the Club Office.
Applicant Signature
(Required)
I authorize the verification of the information provided on this form by Georgetown Country Club.
Today's Date
(Required)
MM slash DD slash YYYY
Spouse/Partner Signature
(Required)
I authorize the verification of the information provided on this form by Georgetown Country Club.
Today's Date
(Required)
MM slash DD slash YYYY
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