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.
| 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 |
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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. |
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Signature of Applicant |
Date |