DEVON GOLF & CONFERENCE CENTER   ( 780 ) 987 - 3477
2017  Membership Application
                           
________________________________________                     ________   _______ / ______ / ______
                             day        month           year
Member Name        Member Number         Date Of Birth
                           
___________________________________________   _____________, ___________ ________ - ________
Mailing Address   City Prov. Postal Code
                           
   ( _____ ) _______ - _______         (_____ )_______ - _______      ____________________________________________
          Home Phone Number                     Business Number                                   E-Mail Address
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
                           
                           
OPTION A -  FULL PAYMENT  ( On Or Before Midnight of )
                           
CATEGORY BY JAN. 15 BY FEB. 15 BY MAR. 15 APR. 15 MAY. 15
                           
Full Membership     $1,870.00   $1,920.00   $1,970.00   $2,000.00   $2,050.00
                           
                           
Associate Membership   $1,480.00   $1,530.00   $1,590.00   $1,640.00   $1,690.00
(Mon.-Fri. excluding Holidays)                    
                           
Student       $1,140.00   $1,190.00   $1,240.00   $1,280.00   $1,320.00
                           
                           
Junior   11 - 17       $365.00   $380.00   $395.00   $410.00   $425.00
                           
                           
Jr. Junior   10 & Under   $260.00   $275.00   $295.00   $310.00   $325.00
                           
                           
 
G.S.T. Included
                           
OPTION B  -   Payment Plan:
 
    Full Member     Associate Member    
      4 Payments of   $480.00     4 Payments of   $382.50    
                           
                           
PAYMENT PLAN:
                           
Payment must be received before midnight January 14, 2017.
Four equal post dated cheques Jan 15, Feb 15, Mar 15, & Apr 15th, 2017
or by credit card with payments taken out on  Jan 15, Feb 15, Mar 15, & Apr 15th, 2017
for the amount of:
 
Full Membership     $ 480.00  X  4  =  Total Price $ 1920.00
 
Associate Member     $382.50.00  x  4  =  Total Price $ 1530.00
G.S.T is included
 
Payments Based on February Prices Only
 
Club Services (eg. Club Storage, Lockers and Power Carts) must be paid in full.
You can not divide these payments in four.
                           
SEE REVERSE FOR MEMBER SERVICES AND PAYMENT OPTIONS    
                           
Membership Services
Locker Rental & Club Storage
If you wish to add your locker, club storage or power cart passes to your payment these must be paid in full.
They May Not be divided into monthly payments
                           
                           
Small Locker # _________   $25.00   Adult Club Storage      $80.00
               Club & Pull Cart Storage   $140.00
Large Locker # _________   $35.00   Junior Club Storage     $60.00
                           
Power Cart Passes (Please Note Punch Passes will be 18-Hole rounds Only)
(10) 18-Hole Round Pass     $230.00   (40) 18-Hole Round Pass     $780.00
                           
(20) 18-Hole Round Pass     $420.00   Single User Unlimited Use     $980.00
G.S.T. Included
                           
                           
Please Check Which Division You Will Be Participating In.            
                           
                Mens         Ladies    
                           
Seniors must be 50 or Older         Senior Men       Senior Ladies  
                       
                           
*******************************************************************************************************************************
METHOD OF PAYMENT
                           
    Cheque       Debit Card           Cash
                           
Credit Card  ________ # # _________ - _________ - _________ - ________ Exp. Date _____ / _____
                           
******************************************************************************************************************
I hereby agree with all of the terms and conditions set out by the Policies and Bylaws of the Devon Golf & CC
                           
                           
___________________________________________   ___________________________
MEMBER'S SIGNATURE   DATE
                           
!!!   ALL MEMBERSHIP DUES ARE NON - REFUNDABLE   !!!
                           
Send All Cheques Along With This Application Form To
                           
DEVON GOLF & C.C.      1130 RIVER VALLEY      DEVON, AB    T9G 1Z3
                           
PHONE: (780) 987 3477                      FAX: (780) 987 3300
                           
E-MAIL: admin@devongolf.ca            WEBSITE: www.devongolf.ca
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( OFFICE USE ONLY )
                           
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