Inverness Golf & Country Club

Date:

Applicants's Full Name:
Home Address:
City:
Zip:
Home Phone:

Mailing Address: If different from home address
City:
Zip:
Business Phone:
Occupation:
If Retired, Previous Occupation:
Company Retired From:
Position At Retirement:
Marital Status:Yes No
If Married, Spouse's First Name:
Names, Ages of Minor Children: Age:
Names, Ages of Minor Children: Age:
Names, Ages of Minor Children: Age:
Names, Ages of Minor Children: Age:

Have you ever been a member of a Golf or Country Club? Yes No
Name and Location of Club:
Bank Reference:
Give Names and Addresses of three References other than Sponsors



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,
I understand this membership application (if accepted) will be accompanied by an initiation fee. It is further understood and is agreed that neither my resignation from the Club, nor my failure to utilize the facilities of the Club shall reduce the membership fee. This application is subject to the approval of the Board of Directors of the Inverness Golf & Country Club, Inc.

Sponsoring Member:
Sponsoring Member Phone: