Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Pay by: *

Cash

Card

Check

As a member, I agree to: *

Check to agree to each

Promptly pay my monthly dues established in the current fees and rates

Abide by the general membership rules, as shall be published by the club

Promote the welfare and interests of Bartram Trail Golf Club at all times

Membership dues will be charged until a declaration of cancellation is received by management team

12 month contract

Credit card

(a monthly receipt will be sent to you) Price: $89

Application Submission Date *

MM

DD

YYYY