The Country Club at Boca Raton Application

The Country Club at Boca Raton

^{SUMMER
GOLF MEMBERSHIP}

^{May
1, through October 31, 2003}

^{Summer
Membership Fees:}

^{Single
Golf $1,225.00, plus tax

Couple Golf $1,500.00, plus tax

Family Golf $1,700.00, plus tax

Corporate Membership (3 +) $1,102.50, plus tax per person

Tennis Only (Family) $300.00, plus tax}

^{Included
are - bag storage, unlimited range balls, & computer handicap
service.}

^{There
is no food minimum for length of the program.}

^{Locker,
per person (opt) $25.00 Lockers will be on a first-come,
first-serve basis.}

^{There
will be a $10.00 fee for anyone not returning their locker key
before 11/3/02}

^{There
is a $16.00 cart charge, per person for 18 holes of golf. ($8.00
for 9-holes) Guests are $26.00 (including cart) and any one guest
may play twice a month during the summer. Children may not drive
carts.}

^{Summer
membership is available from May 1, through October 31st, 2003.
Fees are payable upon submission of application to the Club.
All charges are due and payable monthly, as prescribed in the
By Laws. Dues are not refundable and will not be prorated. Dues
and monthly billing may be paid on a credit card with a service
fee of 2%. Please understand that if, at any time, your club account
becomes more than 30-days in arrears, club privileges may be suspended
until the account is brought current.}

^{Summer
members may have guests, subject to the rules of the Club,
and will be responsible for all charges and the conduct of their
guests.}

^{Summer
golf members wishing to also play tennis may do so for an additional
$150.00 for the family.}

^{Summer
membership will become effective upon approval of the Board of Governors,

to begin May 1, 2003.}

^{The
Country Club at Boca Raton}

^{2003
Summer Golf Membership Application}

^{(YOU MUST COMPLETE THIS ENTIRE FORM,} ^{EVEN
IF YOU HAVE BEEN A SUMMER MEMBER BEFORE)}

^{Have
you been a summer member before?
[ ] yes [ ] no}

^{NAME,
IN FULL}^{______________________________________Date
of Birth_____________}

^{Address:
__________________________________________________________________

Zip: ____________________

Daytime Phone:________________________}

^{E-Mail
address_________________________}

^{SPOUSES
NAME}^{_____________________________________Date of
Birth________}

^{Membership
Status:}

^{Single
[ ]       Married, playing as single
[ ]         Married, playing
as couple [ ]        *Family [
]}

^{*
Family covers children (under 21, living at home) names / ages,
if applicable:}

^{LOCKER?
YES     [ ] Man
[ ] Woman}

^{I
am:       Retired [ ]
Semi-Retired [ ]         Active
in Business [ ]}

^{Present,
or Former Business:________________________ Type of Business:_________}

^{Position:___________________}

^{SPONSORING
MEMBERS}

^{Name:____________________________________}

^{(Without
two sponsors, please list previous club affiliation, if any, for reference)}

^{______________________________________________________________________________}

^{Total
cash received at application:____________}

^{You
must sign the agreement form.}

^AGREEMENT

^{As
a summer golf member you are entitled to use of all facilities of the
Club, subject to the rules prescribed by the Board of Governors of The
Country Club at Boca Raton.}

^{You
may have guests, (you may bring the same guest twice a month and different
individuals as often as you wish).}

^{Summer
membership will become effective after an initial interview and upon
approval by the membership committee.}

^{The
Country Club at Boca Raton} is a ^{Cashless@
Club and all Club charges are due and payable by the 25th of each month.}^{Dues are subject to tax and not refundable.}

^{I
understand that if at any time my club account becomes more than 30-days
in arrears, club privileges may be suspended until the account is
brought current.}

^{I
agree to respect and support the Club's various policies, including
the dress code and conduct of membership and guests.}

^{Signature:
_____________________________________________Date:___________}

^{Summer
Member Interests}

^{Name:____________________________________________
Phone:___________________}

^{We
offer many activities to help you become involved with}^{The
Country Club at Boca Raton}^{.
We hope you will become a part of everything that is of interest to you.
If you would indicate your interests, we will make every attempt to introduce
you to that area.}

^{Golf:
Inter-club}

^{Mens [ ]
Women's [ ]}

^{Blue
Tees, Daily (11:15am)}

^{Men's
Golf [ ] Yes}

^{Hole
- in - One - Insurance [ ] Yes}

^{Please contact the office to arrange for this insurance.
There is a $5.00 fee which is automatically replenished through
your monthly billing, whenever necessary}^.

^{Friday
Frolic 9-holes & Dinner (Mixed Golf) [ ] Yes}

^{L.
G. A. (Ladies Golf Association) [ ] Yes}

^{Checking
this will only notify the LGA of your interest in joining
this group. You must sign up and register with the LGA by contacting
the Membership Chairwoman and indicating your interest in the
Hole-In-One Club (or not).}

^Bridge

^{Inter-club
Duplicate, Women [ ] yes}

^{Duplicate
Bridge, Daytime / Evenings [ ] yes}

^{Party
Bridge, daytime [ ] yes}

^{Bridge
Refresher Lessons [ ] yes}

^Tennis

^{Men=s
Open Play [ ] yes}

^{Women=s
Open Play [ ] yes}

^{Team
Tennis [ ] yes}

^{Group
/ Private Lessons [ ] yes}

^{Night
/ Evening Play [ ] yes}

^{Other
areas of interest to me: _________________________________________________}