2024 Membership Application

MEMBERSHIP APPLICATION
Membership Category*

Unlimited Golf MemberUnlimited Golf Family/CoupleUnlimited & 60 Point Golf Couple60 Point & 60 Point Golf Couple60 Point Golf MemberIntermediate “A” (37-39)Intermediate “A” (34-36)Intermediate “A” (30-33)Intermediate “B” (27-29)Intermediate “B” (23-26)Intermediate “B” (19-22)Intermediate “B” (19-22) StudentSocial (Additional options not available to Social)
** PLEASE NOTE THE 30-POINT MEMBERSHIP IS AT CAPACITY AND IS NOT CURRENTLY BEING OFFERED.
Additional Options: (some not applicable to Unlimited golf membership) (HST is extra)

Club Storage Seasonal Fee – $200.00Annual Locker – $150.00Unlimited seasonal power single seater Cart – $1300.0050 pack of 9 hole power cart $800.00
Personal Information
Name*

PrefixLastFirst
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number:*

Area CodePhone Number
Alternate Number:

Area CodePhone Number
Email*
Were you referred by an existing member? If so, please let us know who.
Member Name
Membership Acceptance & Agreement
Please check to identify the acceptance of the following statements:*

I understand the details of all applicable initiation fees submitted with this application.I understand the details and promise to pay all annual dues/fees/assessments that are applicable to my membership. I understand the details of House Minimums (food & beverage purchases) scheduled for this application.I agree to follow all By-Laws and Regulations of the Club and any other resolutions passed by the Club.
Payment Options
Please indicate your preferred method of payment for your account.*

Pre‐authorized Debit to Bank (PAD form to be completed)Pre-Authorized CC - Details to be collected by PGCC Admin Staff.
In the event of a delinquent account any Member that shall neglect or fail to pay the prescribed Annual Fee, the initiation Fee, any assessment levy, house account or any other indebtedness to the Club for more than thirty days after the same shall be due, the Board may, without notice, withdraw all privileges of such member.

I have read and understand the terms and conditions of the past 30 days indebtedness, as indicated above.
Signature*

Clear
PLEASE NOTE: All dues are ‘Auto‐renewed’ annually in January unless we are notified otherwise. Any change/cancellation of membership must be received no later than December 31.

Once you submit your application, we will contact you shortly to finalize your membership application.

Thank you!
Should be Empty:

Personal Information

Membership Acceptance & Agreement

Payment Options