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Home of the
Annual St. Patricks Day
Golf Tournament

Citrus County Seniors

Citrus County Open

Jeff Shelton
General Manager &
Director of Golf

Inverness Golf and
Country Club, Inc.
3150 S. Country Club Drive
Inverness, Florida 34450-6964

Office Phone
352-726-2583

Fax
352-726-3559

Pro Shop Phone
352-627-2526

Email igcc@tampbay.rr.com
Application For Membership

Membership in the Country Club shall be open to persons of good moral character, who are interested in golf, swimming and tennis, as well as social activities for the benefit of the members and the community. Membership is available without regard to race, color, sex, or national origin.

Date:
Applicant's Full Name:
Home Address:
City:   State:
Zip:
Home Phone:
Cell Phone:
Date of Birth: mm/dd/yy
Required for Associate Jr. Membership
Mailing Address: If different from home address
City:
Zip:
Email:
Business Phone:
Occupation:
Place of Employment:
If Retired, Previous Occupation:
Company Retired From:
Marital Status:Yes No
If Married, Spouse's First Name:
Date of Birth: mm/dd/yy
Required for Associate Jr. Membership
Name, Ages of Minor Children:
Age:
Name, Ages of Minor Children:
Age:
Name, Ages of Minor Children:
Age:
Name, Ages of Minor Children:
Age:
Give Name and Address of one Reference other than Sponsor
I hereby make application for membership in the Inverness Golf & Country Club, Inc., and agree to be bound by the rules and regulations of said club, a copy of which will be provided upon approval of this application. I also agree to pay an initiation fee of $_____ and purchase a share of corporate stock at price in effect at time of application. It is further understood and agreed that my failure to utilize the facilities of the Club shall NOT reduce the membership fee and upon my resignation of the Club, my account balance must be paid in full before resignation will be accepted. This application is subject to the approval of the Board of Directors of the Inverness Golf & Country Club, Inc.
Signature of Applicant:
Sponsoring Member:
Sponsoring Member Phone: