➼ Unlimited Golfing ➼ Grass Practice Facilities (short game
area) ➼ Discounts on Special Events
➼ Golf Canada Certified Handicap ➼ Membership Loyalty Programs ➼
Driving Range Pass Included in Membership
➼ Reciprocal Golf Clubs throughout AB ➼ 10 Day Advance Tee Time
Bookings ➼ Juniors Play FREE (with adult membership)
➼ Referral & Rebate Credits Available ➼ Discounts on Golf
Shop Merchandise
Prepay your membership for three, five or ten years in order to
receive a 5%, 10%, or 15% discount on your membership. 5% DISCOUNT
10% DISCOUNT 15% DISCOUNT
MEMBERSHIP TYPE Annual/ Monthly 3 Years 5 Years 10 Years
YOUNG PROFESSIONAL SINGLE $1,950/ $163 $1,852.50/year
$1,755.00/year $1657.50/year (ages 19-39)
YOUNG PROFESSIONAL COUPLE $2,650/ $221 $2,517.50/year
$2,385.00/year $2,252.50/year (ages 19-39)
FULL SINGLE $2,400/ $200 $2,280.00/year $2,160.00/year
$2,040.00/year (ages 40-64)
FULL COUPLE $3,250/ $271 $3,087.50/year $2,925.00/year
$2,762.50/year (ages 40-64)
SENIOR SINGLE $1,875/ $157 $1,781.25/year $1,687.50/year
$1,593.75/year (ages 65 and up)
SENIOR COUPLE $2,650/ $221 $2,517.50/year $2,385.00/year
$2,252.50/year (ages 65 and up)
LAST NAME _______________________________ FIRST NAME
__________________________________
E-mail* _______________________________ Date of Birth
__________/_________/_____________ *for club communication &
booking online tee times Month Day Year
Share No. _______________________________ Street Address
__________________________________
City, Prov, Postal Code _______________________________ Phone
__________________________________
CREDIT CARD # ______________________________________________ EXP
______________ CVV____________
I authorize the above credit card to be billed for any
outstanding membership dues outlined below and for any charges I
may incur in the Restaurant or Golf Shop of the Grande Prairie Golf
& Country Club, to be processed on the 7th of each month. I
also authorize the Grande Prairie Golf & Country Club to
automatically renew my membership on an annual basis, based on the
information contained herein. I understand that any changes or
additions to my membership must be submitted to the Grande Prairie
Golf & Country Club by October 31st.
SIGNATURE: ______________________________________ DATE
_______________________________ NEW MEMBER RETURNING MEMBER
REFERRING _______________________________
MEMBER (if applicable)
___ Young Professional Single* ___ Full Single* ___ Senior
Single* $___________________
___ Young Professional Couple* ___ Full Couple* ___ Senior
Couple* $___________________ $___________________
3 years 5 years 10 years $___________________
PLAYERS’ NAME(S) DATE OF BIRTH TRAIL FEE LOCKER CLUB STORAGE
MM/DD/YY $480.00 $65.00 $175.00
1) ___________________________ ________________ ______________
______________ ________________ $___________________
2) ___________________________ ________________ ______________
______________ ________________ $___________________
MISC ___________________________ ________________ ______________
______________ ________________ $___________________
NOTES______________________________________________________________________________________
YEARLY CART $___________________
_______________________________________________________________________________________
SUBTOTAL $___________________
5% GST $___________________
MISC $___________________
TOTAL $___________________
______________________________________________________
Signature of Executive Official
PAID IN FULL Amount Payment Type Trans # ____________
____________ ____________
PO Box 430
Single $ 950 Couple $1250