2026 Membership Application

Name

First NameLast Name

Date of Birth

Date

Age (as of 1/1/2026)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Please select requested membership category.

If paying your membership dues in full by cash or check on or before February 28, 2026, you'll receive 4% off your total membership dues. Not applicable to cart package or food & beverage minimum.

Please select your payment preference for your membership dues.

Golf Cart Package: Please select your payment preference or select 'no golf cart package.'

I understand & agree that as a member of the Wellsville Country Club, I am responsible to pay the entirety of membership dues, food & beverage minimum, & optional cart package amounts in full by 12/31/2026. Pro shop charges do not apply to food & beverage minimum. I understand WCC reserves the right to charge a late fee &/or suspend my privileges if membership dues, food & beverage minimum, & pro shop charges are past due as outlined in the additional terms & conditions attached. I agree to abide by course & clubhouse rules & regulations & understand that if I do not, WCC reserves the right to suspend my privileges at any time.

Signature

Date

If applying for a couple or family membership, that will be on the next page of this form.

2026 Membership Application

For Couple & Family Memberships Only

For Memberships Including Children Only