Huntsville Golf Club Guests

Non-Resident Membership

Persons at least twenty-one years of age who, for at least nine months a year do not reside within forty miles from Public Square in Wilkes-Barre are eligible for Non-Resident Membership. Non-Resident Members are restricted to twenty rounds of golf per year and are nonvoting members.

$5,000 Membership Fee, due in full upon joining.

$3,000 Initiation Fee, due in full upon joining.

$2,100 Annual Dues, one half due January 1, and one-half due May 1.

Membership Fees are refundable if the club is at full membership and there is a qualified individual to fill the vacancy.

Note: Initiation Fees and Annual Dues are non-refundable.

NON-RESIDENT MEMBERSHIP APPLICATION
Fields marked with (R) are required.

PERSONAL INFORMATION & PRINCIPAL RESIDENCE:

NAME: (R)
STREET: (R)
CITY: (R)
STATE: (R)     ZIP CODE: (R)
TELEPHONE NUMBER: (R)
EMAIL: (R)

SPOUSE'S NAME:

SINGLE CHILDREN:
21 or younger living at home and/or 24 or younger attending college full-time.
NAME:
   DATE OF BIRTH
NAME:
   DATE OF BIRTH
NAME:
   DATE OF BIRTH

BUSINESS:
FIRM/OCCUPATION:
TITLE:

NATURE OF BUSINESS:

STREET:
CITY:
STATE: ZIP CODE:
TELEPHONE:
BILLING ADDRESS: RESIDENCE BUSINESS

PERSONAL REFERENCES:

1) NAME:
      STREET:
      CITY:
      STATE:     ZIP CODE:
      TELEPHONE:

2. NAME:
      STREET:
      CITY:
      STATE:     ZIP CODE:
      TELEPHONE:

OTHER EXISTING CLUB MEMBERSHIPS, IF AVAILABLE:

1. NAME:
      STREET:
      CITY:
      STATE:     ZIP CODE:
      TELEPHONE:
CLASS OF MEMBERSHIP:
YEARS OF MEMBERSHIP: year(s)

2. NAME:
      STREET:
      CITY:
      STATE:     ZIP CODE:
      TELEPHONE:
CLASS OF MEMBERSHIP:
YEARS OF MEMBERSHIP: year(s)


	Huntsville Golf Club 30 Hayfield Road Shavertown, PA 18708-9478 Email: info@golf-huntsville.com Phone: 570-674-6531 Fax: 570-674-9954 The Huntsville Golf Club logo is a Trademark of Huntsville Golf Club. Copyright © 2001 All Rights Reserved.