2009 Membership Information
Instructions for completing 2009 Remittance Form.
| Dwight Country Club 2009 Dues Remittance | make check payable to: Dwight Country Club | |||||||||||
| Please return this sheet with your dues payment. | Remit To: | Dwight Country Club | ||||||||||
| P. O. Box 122 | ||||||||||||
| PLEASE FILL OUT ALL INFORMATION COMPLETELY | Dwight, IL 60420 | |||||||||||
| Member Name___________________________Spouse______________Phone__________________ | ||||||||||||
| Address____________________City______________Zip__________E-Mail___________________ | ||||||||||||
| single | family | |||||||||||
| MEMBERSHIP STATUS: | CURRENT | UPGRADE | ||||||||||
| NO BOOSTER OR CERTIFICATE | _________ | _________ | $805 | $870 | ||||||||
| CERTIFICATE ONLY | _________ | _________ | $740 | $805 | ||||||||
| BOOSTER ONLY | _________ | _________ | $705 | $770 | ||||||||
| CERTIFICATE AND BOOSTER | _________ | _________ | $640 | $705 | ||||||||
| FEES: | CURRENT | UPGRADE | ||||||||||
| FAMILY MEMBERSHIP | (see above) | _________ | _________ | |||||||||
| SINGLE MEMBERSHIP | (see above) | _________ | _________ | |||||||||
| JUNIOR MEMBERSHIP | $125 | _________ | _________ | |||||||||
| *FAIRWAY BOOSTER | $1,000 | _________ | _________ | |||||||||
| *MEMBERSHIP CERTIFICATE | $500 | _________ | _________ | |||||||||
| ASSESSMENT | $250 new member | _________ | _________ | |||||||||
| CART SHED RENTAL | GAS | $300 | _________ | _________ | ||||||||
| ELECTRIC | $350 | _________ | _________ | |||||||||
| CART SHED #_______ | ||||||||||||
| CART MEMBERSHIP | SINGLE | $500 | _________ | _________ | ||||||||
| FAMILY | $700 | _________ | _________ | |||||||||
| HANDICAP FEE | $20 per person | _________ | _________ | |||||||||
| LIST NAMES | __________________ | |||||||||||
| __________________ | ||||||||||||
| __________________ | ||||||||||||
| __________________ | ||||||||||||
| DRIVING RANGE MEMBERSHIP | $150 | _________ | _________ | |||||||||
| ADD $10 FOR TWO PAYMENTS | $10 | _________ | _________ | |||||||||
| ADD $20 FOR FOUR PAYMENTS | $20 | _________ | _________ | |||||||||
| TOTAL | _________ | _________ | ||||||||||
| *3-year payment plan available | ||||||||||||
| do you wish to be on cart shed rental waiting list | yes_____no______ | |||||||||||
| note: remember must be a certificate holder | ||||||||||||
| dues payable by Feb. 1 2009 | ||||||||||||