2003

membership application form

 eagle lake recreation center / golf course

210 Golf Course Road  Eagle Lake, Texas  77434

979.234.5981 - tee-up@meldahl.com

 ANNUAL MEMBERSHIP DUES AND FEES:

(Check all applicable categories)

□       $300  Full Participating Golf Membership

□       $250  Senior Membership (62 years of age or older)

□       $100  Initiation (must be included for initial or interrupted membership)

□       $  50  Supporting Membership

□       $  25  Student Membership (Through high school – Initiation fee waived)

□       $  60  Cart Storage (Includes insurance and related assessments)

□       $  15  Locker Rental

□       $    3  Handicap System

 PAYMENT METHOD:

□       Annual    □   Semi-annual (Only for Full Participating or Senior Memberships)   □    Quarterly (Only for Full Participating or Senior Memberships)

Please complete the following required information:

 ____________________________________________________________          _____

Name                                                                                                                          Age

______________________________________________________________________

Mailing Address (P.O. Box or Street)                     City                     State               Zip 

________________     _________________      ________________    ______________

Home Phone                Work Phone (optional)      Cell Phone (optional)      E-mail (optional)

List names of immediate family members requiring membership cards and privileges:

(1)_______________ (2) _______________ (3) _______________ (4) _______________   

 Do you own a cart shed?  □Yes   □No    If yes, cart shed number ___

 A one-time initiation fee of $100 is required for Full and Senior Membership.  A $25 late fee is applied when dues are 30 days past due. 

 Membership will be dropped after 90 days of non-payment.

All applications will be presented for approval before the ELRC Board of Directors.

 __________________________________________         __________

Signature of Applicant                                                         Date

 The ELRC members and its Board of Directors appreciate your interest and support.