Belvedere Golf & Country Club

Belvedere Golf & Country Club teetimes@belvederegolf.com

Application for Membership

I hereby submit application for membership in the Belvedere Golf Club Inc. in the class indicated below.

Name:
Address:
City:
Postal Code:
Phone Number:
Work Number:
Fax Number:
Email:
Date of Birth (Student, Junior):
Education Institution (student):
Institution Address (Student):
Institution Phone No (Student):

Please check this box if you do not have email and would like to be informed of club announcements by mail.

Membership Classification
Please add a quantity
to below boxes

"Prices include all
applicable taxes"

Adult Full

$1,504.18

Adult Restricted

$1,330.93

Student

$637.93

Junior Restricted (age 12-18)

$483.24

~~Players Package~~ SOLD OUT!

$866.25

Junior Restricted (age 10-11)

$367.74

Please note: Junior Memberships include Club Storage

Season Club Storage

$84.00

Season Club Cleaning

$57.75

Season Golf Car Rental

$700.00

Seniors Golf Car Rental

$666.00 (65+)

Battery Storage

$84.75

Golf Cart Trail Fee

$236.25

Season Pull Cart

$61.00

Guaranteed Tee Time

$35.00

Golf Car Storage Gas

$372.75

Golf Car Storage Electric

$441.00

Locker Room

$32.00

Driving Range

$164.00

Driving Range Family

$232.00

Total Due:

Names of Players
Name 1:
Name 2:
Name 3:
Name 4:
Name 5:
Name 6:

Please note, due to security reasons, we cannot collect your credit card information on this application. If your credit card information is on file from last year and your card number and/or expiry date has not changed, then we will deduct in equal installments on April 1st and May 15th. If your credit card or expiry has changed, please notify us to have your information updated so we can process your membership. Please note that we will also accept cheques/postdated cheques.

Tee Time Request
Day Requested (Monday to Friday)
Cost $35.00 per player ($140.00 per tee time), All Taxes Included.

Players Names
Player 1
Player 2
Player 3
Player 4
Tee Time Requested
Day:	Time: