Lake Doster Golf Club
Membership Application — Internet

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 
 State 
 Zip 
 City 
 State 
 Zip 
Home Phone
 Bus Phone
Cell Phone
 Membership Fee 
New Member Initiation Fee 
 Private Cart Fee 
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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