Membership Application

Wallinwood Springs Golf Club
Membership Application — Internet

This is a printable application form. Please enter the information requested, print the form, sign and mail it, along with your check or money order payable to Wallinwood Springs Golf Club, to: Wallinwood Springs Golf Club, 8152 Weatherwax Dr., Jenison, MI 49428 or fax it to Tim Hartson, Par 5 Golf Group, Inc., at (616) 685-1033. No partial payments accepted.

I hereby make application for membership at Wallinwood Springs Golf Club for the 2005 golf season.
Name of Applicant			Name of Spouse
Name of Children

Home Address			Billing Address
City	State	Zip	City	State	Zip
Home Phone			Business Phone
Membership Fee
Family Membership Fee (must be added to Husband/Wife rate) * Family Membership - All children must be 18 years of age or younger or a full-time student. No exceptions.
Private Cart Fee			Range Membership
Total Amount Enclosed			Check Number
I authorize all names listed to sign on my member account and I take full responsibility for any of their charges. I understand the the Club is not responsible for loss or damage of any member's equipment used or stored at the Club. I will look to my own homeowner's policy for any claims. I agree to always register at the Pro Shop before teeing off. Children who have not passed the playing proficiency test must be accompanied by a parent. Children must be at least 16 years of age to operate gas carts. NOTE: 1-1/4% monthly charge on all balances over 30 days. All restaurant and bar charges automatically have a 15% gratuity/service fee added. Additional tip at member's discretion.
Signature of Applicant __________________________________________			Date __________________________