2018 MEMBERSHIP APPLICATION CONTRACT

In an effort to have completely updated files…No matter your tenure…Please complete this entire packet. We have missing files from previous years.

Thank You, Donna Patterson

General Information

*Applicant’s Name ______Date of Birth______

*Spouse’s Name ______Date of Birth______

Date of Marriage ______

*Residential Address:______

City______State______Zip______County ______

Mailing Address (if different) ______

City______State ______Zip______County ______

Contact Information: Applicant’s Home Phone ______*Cell Phone ______

Spouse’s Cell Phone ______Fax ______

Applicant’s Employer: ______

Spouse’s Employer: ______

*Applicant’s Email: ______

*Spouse’s Email: ______

______I wish to receive Club information via Email. Please add me to the mailing list.

___Children under 23 yrs old Date of Birth______

______

______

______

______

______

______

Sponsoring Member Endorsements: (New Members only)

Name ______Signature ______

Name ______Signature ______

Name ______Signature ______

Name ______Signature ______

2018 MEMBERSHIP DUES RATES

Initial Type – Check Option

Payment Options
Membership Type / Option 1 / Option 2 / Option 3 / Option 4
One Payment
On or before
15 January / Two Payments
On or before
15 January and
15 July / Three Payments
On or before
15 January,
15 April,
& 15 July / Monthly Payment
(In advance)
Full Family _____ / $1,746___ / $899___ / $611___ / $156___
Full Single _____ / $1058___ / $545___ / $370___ / $94___
Contiguous _____ / $1144___ / $589___ / $400___ / $102___
Out of County _____ / $636___ / $328___ / $223___ / $57___
Family Social _____ / $1064___ / $548___ / $372___ / $95___
Single Social _____ / $667___ / $344___ / $233___ / $59___
Young Adult
Family _____ / $955___ / $492___ / $334___ / $85___
Young Adult
Single _____ / $700___ / $361___ / $245___ / $62___
Seasonal _____ / $500___ / N/A / N/A / N/A

2018 CART PLANS AND RATES

Payment Options
Cart Plans / Option 1 / Option 2 / Option 3 / Option 4
One Payment
On or before
15 January / Two Payments
On or before
15 January &
15 July / Three Payments
On or before
15 January,
15 April
& 15 July / Monthly Payment
(In advance)
Single Cart Plan
Initial______/ $750___ / $400___ / $267___ / $67___
Family Cart Plan
Initial______/ $950___ / $500___ / $330___ / $85___
Trail Fee
Initial______/ $650___ / $350___ /
$233___ / $58___
FYI:
1) YOU MUST SELECT DUES AND CART PLAN WITH THE SAME PAYMENT OPTION!
2) No individual under 16 years of age is allowed to operate a golf cart. No individual under the age of 16 will be given a golf cart key at Murray Country Club.
BOX 1 PAYMENT OPTION 1,2,3
_____ I wish to pay my 2018 dues via credit card
Card Type:______
Card Number:______- ______- ______- ______
Expiration Date:______/ ______(MM/YY) Security Code (3 digit # on back of card)______
Cardholder Name: ______
Billing Address: ______
BOX 2 PAYMENT OPTION 4
______I wish to pay my 2018 monthly dues on the 5th___10th___15th___20th___ of each month. I am requesting an automatic draft via the credit card listed in Box 1.
AUTHORIZATION:
I hereby authorize Murray Golf Course, Inc to charge my credit card or make the ACH transfer(s) indicated on this form until further notice by me. If this agreement changes any prior authorization between myself and Murray Golf Course, Inc, the prior authorization is hereby cancelled, and I instruct Murray Golf Course, Inc to follow this authorization. I further acknowledge that you have no responsibility to contact me when the above transfer(s) / charges(s) occur(s). I understand that I can call you to find out whether or not the transfer has been made.
I understand that it is my responsibility to have sufficient funds available in my account on the transfer / charge dates(s) in order for Murray Golf Course, Inc to make the automatic payment(s) or credit card charge(s). I acknowledge that if sufficient funds are not available in my account to cover the amount of the transfer(s) or credit card charge(s), the automatic payment(s) / credit card charge(s) may not be made. I further acknowledge that Murray Golf Course, Inc will not be liable for any charges, including but not limited to any charges related to items returned because of insufficient funds.
(Automated Clearing House (ACH) is an electronic network for financial transactions in the United States. ACH processes large volumes of credit and debit transactions in batches. ACH credit transfers include direct deposit, payroll and vendor payments).

Signature on Account or Credit Card ______

_____ please send a receipt via email.

______

I understand that this contract is for the 2018 calendar year and by signing below I am agreeing to make any and all payments selected above:

Applicant’s Signature______Date______

2018 Membership

OTHER AMENITIES AVAILABLE – NOT ELIGIBLE FOR PAYMENT PLAN

(Please place check in blank below and pay appropriate party)

CLUB STORAGE IN PRO SHOP 2018$40.00 ______

Payable to Pro Shop

GHIN HANDICAP FEE-KGA-PGA GHIN Handicap Fee 2018$23.00 ______

Payable to Pro Shop

Single Range Plan $150.00 ______

Payable to Pro Shop

Family Range Plan $225.00 ______

Payable to Pro Shop

All MGA membership fees and locker fees will be paid directly to them. Please contact Chris Jones to make arrangements for these payments.