2024 Membership Application

SOCIAL MEMBERSHIP APPLICATION

I, First Name* Last Name*

hereby apply for a Social Membership

Classification:

Social Single – $471.00 + hstSocial Couple – $621.00 + hst

Personal Information

Name*

PrefixLastFirst

Date of Birth

MM - DD - YYYY

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Phone Number:*

Area CodePhone Number

Alternate Number:

Area CodePhone Number

Email*

Work Email:

Membership Acceptance & Agreement

Please check to identify the acceptance of the following statements:*

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*

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 complete your membership application.

Thank you!