Leonard Country Club - 2017 Membership Application

Membership Rates:                                                               

Single - $295.00                                                        _____________

Couple - $395.00                                                      _____________

Family - $495.00                                                      _____________

Restricted Membership Rates: 

Junior  (Under Age 18) - $  95.00                       _____________

Junior Adult (Ages 18-22) - $175.00                 _____________

Trail Fees & Cart Storage:

Gas Cart - $200.00                                                    _____________

Electric Cart - $225.00                                             _____________

Additional User - $100.00                                    _____________

No Storage - $100.00                                              _____________                                                                                                 

                                                             TOTAL           ____________   

 

Name: _______________________________                          Additional Member/Users:

Address: _____________________________        ________________________________

City: _____________State: ____ Zip:_______       ________________________________

Phone: _________________________ EMail: __________________________________

______________________________________________________________________________________

 

Check: (Simply Mail Payment to: Leonard Country Club, 5274 153rd Ave Se, Leonard, ND 58052)

 

Credit Card#: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __  (M/C, Visa, Amex, Disc)

Exp. Date: __ / __                   CVV2#: __ __ __ (3 Digit Code on Back Of Card)

Signature: _____________________________________