Download 2017 Associate Membership Application

2017 Associate
Membership Application
Hornby Glen Golf Course Associate Members get
50% off all regular priced Green Fees in the 2017 Season.
*Excludes Tuesday and Thursday afternoon league play,
other discounts, promotions and/or third party rates*
Associate Members are only allowed to book one tee time per day and they are
responsible for making that tee time. All dues must be paid in full before you play.
Membership Fee
Taxes
$250.00
$32.50
Balance
C Cash
C Visa
C Cheque
C Master Card
$282.50
Credit Card Number _________________________
Exp. ________
Signature_______________________________
Date_____________
_______________________________________________
Last Name
Given Name
_______________________________________________________________
Street Address
Unit or Apt No
_______________________________________________________________
City
Postal Code
Tel No
_______________________________________________
Email address
_________________________________________________________________________________
Emergency Contact
Phone Number