Golf Memberships & Off Peak Packages 

2008 Application Form
 
 
Name: ___________________________________________________________
 
Address:   ________________________________________________________
 
City: ____________________________ State: ______________ Zip: _________
 

Home Phone: ________________ Business Phone:______________

E-Mail Address: __________________________________________________

Memberships: Please indicate which membership you are purchasing under "Membership Type." Membership types are found on the left column of the 2008 rate page. They are: G, GS, GC, S, SS, SC, B, BS. BC, J, RANGE, or FAMILY FUN.

Name Membership Type Amount
_____________________________________ ____________ $_________
_____________________________________ ____________ $_________
_____________________________________ ____________ $_________
_____________________________________ ____________ $_________
_____________________________________ ____________ $_________
Off Peak Player Packages: Please indicate the number of rounds you wish to purchase.
Green Fee Only - No. of Rounds ____________ $_________
Green Fee and Cart - No. of Rounds ____________ $_________

Total                                                                                                                     $_ __________

By my signature, I indicate that I am aware of the no refund policy and that I shall abide by all rules and regulations of the management.

Signature: _________________________ Date: ______________

Please enclose check for the full amount payable to River Glen Country Club, LLC.

Please return to Corporate Office @: River Glen Country Club, LLC

                                                                 12010 Clubhouse Dr.

                                                                  Fishers, IN 46038


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