2016 Algonquin Golf Membership Form

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1 2016 Algonquin Golf Membership Form Personal Information: (PLEASE PRINT CLEARLY) Name: Address: Street City or Town Province Postal Code or Zip Code Date of Birth Driver License # M/D/Y Phone (Out of Town and Intermediate only) Membership Category Price HST Total Platinum $2700 $351 $3051 Platinum Couple $5000 $650 $5650 Gold $1600 $208 $1808 Gold Couple $2800 $364 $3164 Silver (After 3pm) $1250 $ $ Bronze (9 Holes) $1250 $ $ Copper (Intermediate 20-29) $900 $117 $1017 Copper (Intermediate 30-39) $1100 $143 $1243 Junior $350 $45.50 $ Out of Town $750 $97.50 $ Locker $50 $6.50 $56.50 Club Storage $150 $19.50 $ *Platinum and Gold Couple memberships include 2 of the category memberships and are available to spouses and couples living in the same household.

2 Platinum Membership Cost: $2700 (plus HST) - 7 day advance tee time booking (Platinum members only) - Full year of power cart usage (one seat only) - 20% off guest green fees (must be playing with guests / groups 12 or more not included) (Does not include power cart) - Club Storage - Locker Gold Membership Cost $1600 (plus HST) Silver Membership (After 3:00pm) Cost $1250 (plus HST) - This is a restricted membership. Please make sure that this restricted membership suits your golfing needs - After 3:00pm playing privileges for the 2016 golfing season except for every second Monday which is a scheduled maintenance day. Course will be closed at 2pm. Silver Members will only be able to book times from 1pm-2pm on maintenance Mondays. Restriction may apply.

3 Bronze Membership (9 Holes Daily) Cost $1250 (plus HST) - This is a restricted membership. Please make sure that this restricted membership suits your golfing needs - 9-holes daily playing privileges for the 2016 golfing season Copper Membership $900 plus HST and $1100 plus HST - Ages and Junior Membership Cost $350 (plus HST) - After 2:00pm playing privileges for the 2016 golfing season - May play before 2:00pm if accompanied by an adult or by achieving adult playing privileges with an established handicap of 30 or less - Ages Out of Town Membership Cost $750 (plus HST) - Algonquin playing privileges for the 2016 golfing season - Must live at least 75km s outside of St. Andrews and may not own property within a 75 km radius of St. Andrews. - May not be a resident (full or part time) within the 75 km radius

4 Please note the following Terms and Conditions: 1) 7 day advance tee time booking applies to those with Platinum memberships only. A Platinum member cannot book a time for another category of membership 7 days in advance. When booking a guest tee time with a Platinum member 7 days in advance, a credit card number must be left on file, along with, the names and phone numbers of the guests. There will be a 3-day cancellation policy in effect on all guest bookings. If not canceled within 3 days the credit card number left on file will be charged full green fee prices. The Algonquin Golf Club reserves the right to cancel a tee time if a group booking needs to be scheduled. The Platinum member will be given notice from a Pro Shop representative. 2) Full year power cart usage applies to one seat on the power cart only. If another golfer would like to join the Platinum member on the power cart the other golfer must pay for that seat. Power carts are also based on availability. 3) The Club storage area will open for use on May 1 st 2016 and members clubs will need to be removed by September 30 th ) Clubs left in club storage are at the members own risk. The Algonquin Golf Club is not responsible for any lost or damage property. 5) All members must report to the Pro Shop before play. Members and guests are only permitted to start play from holes 1 and 10 with booked tee times. Any members violating the starting procedures could have membership suspended or revoked without compensation. 6) Members are expected to cancel or change booked tee times if they are unable to make it or if part of group is unable to make it. 7) Alcohol is not permitted on the property at any time unless purchased from the beverage cart or the Clubhouse. Violators will have memberships suspended or revoked without compensation. 8) The signup sheets for all member events will be located in the Pro Shop or locker rooms. 9) Members are to abide by the cart rules for the day. Violators may lose cart or even playing privileges. 10) Out of Town Members must live outside of a 75 km radius from St. Andrews and cannot own any land within this 75 km radius. There will be no exceptions given. 11) Out of Town Memberships are on approval only. A driver s license must be provided at time of application and once Service NB is contacted and the results are back the member will then be approved or not approved. 12) Maximum of 2 power carts per group is allowed on the course. 13) When booking a time to play at Digby Pines please contact your professional staff. Times are based on availability and some restrictions may apply. Membership card and photo id must be shown at check-in. 14) We ask that all members please follow golf s 3 R s. 1. Repair ball marks on the greens, yours and 2 others 2. Replace divots 3. Rake bunkers

5 Membership Category Price HST Total Please fill in Totals Platinum $2700 $351 $3051 Platinum Couple $5000 $650 $5650 Gold $1600 $208 $1808 Gold Couple $2800 $364 $3164 Silver (After 3pm) $1250 $ $ Bronze (9 Holes) $1250 $ $ Copper (Intermediate 20-29) $900 $117 $117 Copper (Intermediate 30-39) $1100 $143 $1243 Junior $350 $45.50 $ Out of Town $750 $ $ Locker $50 $6.50 $56.50 Club Storage $150 $19.50 $ Club Dues All Members $60 $60 Golf NB/Golf Canada All Members $25 $28.25 Total $ Payment Type Card Number Expiry Name on Card Date Visa Master Card American Express Debit Card Cheque Cash By signing and submitting this Application, I acknowledge that I have read the Terms and Conditions attached and agree to be bound by them. I certify that the information I have provided is accurate and will advise you if there is any change to my personal information. If paying by credit card I agree to abide by the card holders terms and conditions as set out by the issuing credit card company. List If you wish to receive s from the Algonquin Golf Course please provide below. If your is provided and you sign and date below you agree to receive s from the Algonquin Golf Course. Members can opt out at any time by ing jason.porter@algonquinresort.com Signature: Date: Office Use Only Membership #: Date Received: Received By: Approved: Yes No

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