Huntsville Golf Club Guests

Social Membership

This non-golfing membership will grant access to all clubhouse facilities and entitle the member to participate in social events offered by the club. Social Members are non-voting members.

$500 Initiation Fee.

$500 Annual Dues, due in ten monthly installments (March-December)

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

SOCIAL 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.