Martindale Country Club Membership Application

Martindale Country Club
527 Beech Hill Road
Auburn, ME 04212
207-782-1107
www.Martindalecc.net

Member Information

Please fill in the form below to apply for membership at Martindale Country Club. Be sure to scroll through all the questions. Thank you for your application.

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Date of Birth dd/mm/yyyy

Seasonal Address

State

Postal Code

Business Name and Address

Work Phone

Contact me via email with club information and announcements.

Yes

No

2008 Membership Classifications and Dues. Please select the appropriate classification.

Family membership rates are for the adult players plus any children under the age of 13.
There is an additional charge of $266 per child between the age of 13 and 21 for golf privileges.

Senior discounts apply for those over 70 years of age.

Available Components Annual Charges (Family Membership is X 2)

Food and Beverage Monthly Minimum Assessments
(Billed 7 months/year - April through October)
Family Memberships: $100 per month Single Memberships: $75 per month
Junior and Corporate Memberships are not assessed monthly minimums.
Juniors have no charging privileges.

Capital Improvement
(8 months/year - April through November)
Membership will be charged a fee of $25 per month for continued captial improvement projects.

Initiation
The initiation fee of $1,000 will apply to all new members. This may be paid in full at time of application or in 2 installments of $500 each.

Comments or Questions?

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

Payment of Dues

One Payment In Full

Five Equal Payments

Payment Of Monthly Assessments
Statements will be mailed the 1st week of each month. All payments will be automatically charged to the credit card on file by the 15th of each month.

Please List Additional Family Members

	Name	DOB	Playing Golf Y/N
Adult "A"
Adult "B"
Child
Child
Child

I agree to all the terms above. This will serve as your electronic signature for processing your application.

Yes

No

Please select the date of submission of this form.

Indicates Response Required

Full Family A - $3,425	Full Family B - $2,995
Intermediate Family (30-35) - $2,230	Young Adult Family (20-29) - $2,050
Limited Family - $2,050	Single - $2,300
Intermediate Single - $1,550	Young Adult Single (20-29)- $1,099
Limited Single - $1,550	Senior (over 70) discounts may apply
Junior - $499	Social - $199
Corporate - $2,995	Super Corporate - $5,830

Locker $100	Bag Storage $100	Electric Cart Storage $100
Speed Cart Storage $50	Mug Club $50	Annual Cart Rental $800
GHIN System $25