MEMBERSHIP APPLICATION

UNION CITY COUNTRY CLUB

2015 MEMBERSHIP FEES AND APPLICATION

 

Type of Membership                Regular Dues               Discount Dues                     2015 First Time

                                                Due 3/15/15                Due 3/1/15                              Members         

Family-Husband &/or Wife,                                                                                     

children under 18 as of 1/1/15     $750                           $700                                    $620

or full time student

 

Senior Family-Husband &Wife      $610                          $575                                   $510

over 65 as of 1/1/15

 

 Single Individual                       $525                             $485                                    $430

 

Senior Single Individual            $450                              $430                                   $380

over 65 as of 1/1/15

Student-individual under 25 as of 1/1/15 who is engaged in full time formal education -- $130

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For all dues . . .option. . . Three month installment plan: 50% regular dues must be paid by 3/15/15,

25% regular dues must be paid by 4/15/15, balance must be paid by 5/15/15.

Members' 10 ride ticket :$95 per ticket     DRIVING RANGE MEMB.: $85 ** NEW                                                              

Privately Owned Cart Storage Fees

            Payable with dues or in separate payment no later than 4/15/15.

            Inside Gasoline           $240                           Outside Gasoline        $200

            Inside Electric              $270                           Outside Electric          $225

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 Please fill out application and return with payment. 
Please make checks payable to: Union City Country Club
(Please provide current address and phone number)
 mail to: Union City Country Club 9400 Club Rd. Box 108, Union City, PA 16438

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 NAME                                                                                               DATE                        

 

ADDRESS ______________________________________________________________

 

CITY ____________________________ STATE __________ZIP CODE ____________

 

PHONE :                                            EMAIL                                                                     

 

Please circle type of membership and complete information.

 

1.         Family Membership:   Husband                                  Wife                                       

 

               Children's Name/Age                                                                                              

 

2.         Senior Family:             Husband                                  Wife                                       

              (over 65 as of 1/1/15)

3.         Single Individual Membership           

4.         Senior Single Individual Membership (over 65 as of 1/1/15)

5.         Student   (under 25 as of 1/1/15 and engaged in full-time formal education)

 

Please circle:                                              

Cart Storage:      Inside/Gasoline($240)     Outside/Gasoline($200)              10 Ride Ticket ($95)

                           Inside/Electric  ($270)     Outside/Electric  ($225)  DRIVING RANGE MEMB. ($85)