THE2020 PLATINUM MEMBERSHIPS

30LIMITED TO

MEMBERS ONLY

FOOD & BEVERAGE BONUS PROGRAM

BENEFITS+ Advance tee time reservation 10 days + Upgraded locker + Special bag tag & badge for your vehicle + Pay $ 1,000 in advance for Food & Beverage

and receive credit of $ 1,500 per year. Limited to a maximum of $ 5,000 with a credit of $ 7,500 (must be purchased before October 31, 2020).

NOTES: Purchases made with credit card will be subject t a 2.5% administration fee Only transferrable under special circumstance.

Grande Prairie Golf & Country club

Commitment of $ 15,000 on an item or combination

thereof including:

o Membership dueso Annual golf cart passeso Golf cart trail feeo Annual club storageo Locker room

MEMBERSHIP DETAILS

➼ Unlimited Golfing ➼ Grass Practice Facilities (short game area) ➼ Discounts on Special Events

➼ Golf Canada Certified Handicap ➼ Membership Loyalty Programs ➼ Driving Range Pass Included in Membership

➼ Reciprocal Golf Clubs throughout AB ➼ 10 Day Advance Tee Time Bookings ➼ Juniors Play FREE (with adult membership)

➼ Referral & Rebate Credits Available ➼ Discounts on Golf Shop Merchandise

Prepay your membership for three, five or ten years in order to receive a 5%, 10%, or 15% discount on your membership. 5% DISCOUNT 10% DISCOUNT 15% DISCOUNT

MEMBERSHIP TYPE Annual/ Monthly 3 Years 5 Years 10 Years

YOUNG PROFESSIONAL SINGLE $1,950/ $163 $1,852.50/year $1,755.00/year $1657.50/year (ages 19-39)

YOUNG PROFESSIONAL COUPLE $2,650/ $221 $2,517.50/year $2,385.00/year $2,252.50/year (ages 19-39)

FULL SINGLE $2,400/ $200 $2,280.00/year $2,160.00/year $2,040.00/year (ages 40-64)

FULL COUPLE $3,250/ $271 $3,087.50/year $2,925.00/year $2,762.50/year (ages 40-64)

SENIOR SINGLE $1,875/ $157 $1,781.25/year $1,687.50/year $1,593.75/year (ages 65 and up)

SENIOR COUPLE $2,650/ $221 $2,517.50/year $2,385.00/year $2,252.50/year (ages 65 and up)

LAST NAME _______________________________ FIRST NAME __________________________________

E-mail* _______________________________ Date of Birth __________/_________/_____________ *for club communication & booking online tee times Month Day Year

Share No. _______________________________ Street Address __________________________________

City, Prov, Postal Code _______________________________ Phone __________________________________

CREDIT CARD # ______________________________________________ EXP ______________ CVV____________

I authorize the above credit card to be billed for any outstanding membership dues outlined below and for any charges I may incur in the Restaurant or Golf Shop of the Grande Prairie Golf & Country Club, to be processed on the 7th of each month. I also authorize the Grande Prairie Golf & Country Club to automatically renew my membership on an annual basis, based on the information contained herein. I understand that any changes or additions to my membership must be submitted to the Grande Prairie Golf & Country Club by October 31st.

SIGNATURE: ______________________________________ DATE _______________________________ NEW MEMBER RETURNING MEMBER REFERRING _______________________________

MEMBER (if applicable)

___ Young Professional Single* ___ Full Single* ___ Senior Single* $___________________

___ Young Professional Couple* ___ Full Couple* ___ Senior Couple* $___________________ $___________________

3 years 5 years 10 years $___________________

PLAYERS’ NAME(S) DATE OF BIRTH TRAIL FEE LOCKER CLUB STORAGE

MM/DD/YY $480.00 $65.00 $175.00

1) ___________________________ ________________ ______________ ______________ ________________ $___________________

2) ___________________________ ________________ ______________ ______________ ________________ $___________________

MISC ___________________________ ________________ ______________ ______________ ________________ $___________________

NOTES______________________________________________________________________________________ YEARLY CART $___________________

_______________________________________________________________________________________ SUBTOTAL $___________________

5% GST $___________________

MISC $___________________

TOTAL $___________________

______________________________________________________

Signature of Executive Official

PAID IN FULL Amount Payment Type Trans # ____________ ____________ ____________

PO Box 430

Single $ 950 Couple $1250