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Copyright C Tee-On Golf Systems Inc. All rights reserved

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2012 MEMBERSHIP APPLICATION

HENDERSON LAKE GOLF CLUB

2727 SOUTH PARKSIDE DRIVE, LETHBRIDGE, T1K 0C6

 

PERSONAL INFORMATION:                                                       MEMBER ACCOUNT #(____________)

 

Surname____________________________________           First Name__________________________

 

Address_____________________________________           Postal Code_________________________

 

Telephone___________________________________           Business Phone______________________

 

Birthdate____________________________________          e-mail______________________________

BEFORE DECEMBER 16, 2011             APRIL 1, 2012

            CASH               CREDIT CARD  CASH               CREDIT CARD             

MEMBERSHIP TYPE                                                                               

1.Adult(7 Day)                                   $1200.00         $1240.00         $1275.00         $1320.00  ______________

 

2. Spouse (7 Day)                               $1000.00         $1030.00         $1075.00         $1110.00  ______________

 

3. Adult(5 Day)                                  $1000.00         $1030.00         $1075.00         $1110.00 _______________

 

4: Spouse (5 Day)                              $850.00           $875.00           $900.00           $930.00  _______________

 

5. Senior (4 Day) (age 60)                 $900.00           $930.00           $950.00           $975.00   _______________

 

6. Senior Spouse (4 Day) (age 60)    $700.00           $730.00           $800.00           $830.00   _______________

 

7. Super Senior* (4 Day) (age 75)    $700.00           $730.00           $800.00           $830.00  ________________

                   Super senior must been a member at HLGC for minimum 10 years

 

8. Intermediate (19 – 29)                   $875.00           $900.00           $925.00           $955.00  ________________

 

9.Student Full Time                          $550.00           $575.00           $600.00           $630.00  ________________

Under 25 years of age) (post secondary institution Attending)____________________________________________

             

              10. Sponsored Junior ________________$275.00  $285.00           $300.00           $310.00  ________________

(sponsored by Parent/Grandparent)   (restricted tee times)

(When adult and spouse join with 3 or more children no charge after 2 juniors)

 

11. Non Sponsored Junior                  $325.00           $335.00           $375.00           $385.00    _______________

 

12. Non Resident (100 kms outside of Lethbridge

                                                              $875.00           $900.00           $925.00           $955.00  _______________

13. CORPORATE MEMBERSHIP $4000.00         $4120.00         $4100.00         $4225.00  ______________

(150 games)

14. Driving Range Seasonal                                                             $   100.00           _______________

15. Locker Rental- Locker #(_______)  Small $ 35.00       Large  $     55.00           _______________  

16.  Yearly Golf Cart Fees- Storage     Electric $315.25       Gas  $245.00

17.  Yearly Golf Cart Track Fee                                                     $225.00

18.  Additional Designated Driver (immediate family only)          $210.00

            Name:_______________________________________

19.  YEARLY CLUB GOLF CART LEASE:                                                      _______________

A.  4 Days – 18 Holes Single $500.00     2 Persons $650.00       36 Holes $815.00             

B.  5 Days – 18 Holes Single $630.00     2 persons $ 780.00       36 holes $980.00

C.  7 Days – 18 Holes Single $815.00     2 persons  $ 1025.00    36 holes $1280.00

 

20.  CLUB IMPROVEMENT PLAN

( $75.00 Per Adult, Senior, Super Senior, Spouse and Intermediate)                  _______________

21.  LEAVE OF ABSENCE FOR 2012 SEASON            $ 100.00                                  _______________                                     (must be applied for prior to April 1, 2012)

22.       SUB TOTAL OF APPLICABLE FEES                                                 $________________

 

23.  G.S.T. Registration No. R 122544851                                                    5%$ ________________

 

CHEQUE (__)CASH(__)VISA(__)MC(__)DBT(__)                                                        TOTAL  $________________

 

  RECEIPT#_____________________BY___________DATE____________________ 

 

PLEASE COMPLETE SIGNATURES REQUIRED ON BACK PAGE:

 

 

 

 

 

 

 

PLEASE READ CAREFULLY

(___) I do not wish to have my name, address, photo or phone number in club related activities such as club roster, trophies, plaques or media articles.

Unless otherwise indicated the club will assume the permission to use your information. Information maintained by the club is used for billing and promotional purposes and to help members contact members from time to time regarding club activities which may be of interest.

 

IN THE CASE OF AN EMERGENCY WHOM MAY WE CONTACT?

 

          Name:_______________________________________

 

          Phone #_____________________________________

 

Please return this application, signed and fully completed with your remittance and type of membership category and additional names where required with ages and birthdates. All fees, storage charges etc. must be paid in full by April 1, or arrangements made at the club office. A late penalty fee of $75.00 will be charged to your account after May 1, 2012 for late membership fees.

Your fees include RCGA, CLGA, AGA and ALGA dues.

 

Leave of Absence requests must be submitted in writing by April 1. Leave of Absence fee is $100.00 plus GST. A member on Leave of Absence is allowed to play a maximum of 5 games of 18 holes paying the applicable green fees.

 

Minimum Monthly Clubhouse Charge of $30.00 per month per adult member will be in effect from April 1st to September 31st, 2012. October MHC will be $15.00/adult member. Clubhouse tentatively closes October 15,  dependent on weather and business.

 

ALL OVERDUE ACCOUNTS (30 DAYS OR MORE) WILL BE SUBJECT TO A FINANCE CHARGE OF 1.33% PER MONTH.

 

 

By signing this application form and submitting payment for fees. I hereby agree to abide by all Rules and Regulations of the Henderson Lake Golf Club including those posted, printed or published in Board Policies.

 

Signed:____________________________________  __________________

                   (member signature)                                              (member account #)

Come visit us and enjoy.

Book tee times 5 Days in Advance by calling the pro shop

(403) 329-6767


Group bookings and small tournaments considered.

Adult Rates

Adult 18 All Day Rate Non-resident $55.00
Adult 18 All Day Resident Rate $50.00
Adult 9 Hole Rate $30.00
Member Guest $45.00
Junior Rates  
Junior (18 & Under) 18 Hole Rate $30.00
Junior (18 & Under) 9 Hole Rate $21.00
Electric Cart Rentals  
18 Hole Power Cart Rental $35.00
9 Hole Power Cart Rental $22.00
Flex Cards  
5 - 18 Hole $200.00
5 - 9 Hole $104.00