Membership Application Membership(s) Requested: Adult $1,500Adult weekday only $1,000Senior (62 and over) $850Senior weekday only $650Junior (15 and under) $250Couples (Adult) $1,650Couples (Senior) $1,200Cart* $600 Plus TaxFamily Call or EmailDriving Range** $300 Renewal ApplicantNew Applicant First Name (required) Last Name (required) MI (required) Address City State Zip Phone Cell Phone Your Email (required) In addition to cash and check, for your convenience we also accept MasterCard, Visa, Discover and American Express. However, there will be a 3% charge added to the amount paid by credit card transactions. * Cart fee is per player ** Driving Range membership allows for unlimited use of our driving range while open. Driving range is irons only. Optional Fees: Handicap (circle 1): $40 YesNo If you wish to carryover a GHIN # from a previous course, write GHIN # here: Black Birch Golf League: $160 YesNo The Black Birch Golf League runs from April through later October/Early November golfing every weekend, typically alternating Saturday’s and Sunday’s. The fee includes the following: USGA Handicap; Pro shop credit for any prize money won in league tournaments; Cookouts after major tournaments (typically 3-4 per year); and Year end Banquet. As well league members receive preferred morning tee times during league play as well as special rates for greens fees and carts during league play. INSTRUCTIONS: 1. A separate application is required for each individual applying for Annual Fee Player status. 2. Payment in full must accompany each application.