2010 SEASON PASS
APPLICATION
Primary Member’s Name: __________________________
Address: ________________________________________
City: _________________ State:______ Zip: ___________
Birth date :( mo/day/year) ________________
Home phone :(_____)__________Email:_______________
Payment Information
Please mark the type(s) of season pass you would like:
□ Individual Season Pass $1200
Payment plan - 4 payments of $300
□ Family Season Pass $1500
Payment plan - 4 payments of $375
□ Super Senior Season Pass $850
Payment plan - 4 payments of $225
□ Family Super Senior pass $1150
Payment plan - 4 payments of $300
□ Young Adults pass $695 (19-29)
Payment plan 4 payments of $186.25
Please List additional family name(s) that will be on the season pass :
Name: Date of Birth: Relationship:
______________________________________________ ______________
______________________________________________ ______________
______________________________________________ ______________
Please mark Services or Privileges you would like to add:
TOTAL
□ Locker ($40 per individual) = ______
□ Club Storage ($79 per individual) = ______
□ Season Range Pass ($250/Individual $350/Family = ______
(Season Range Pass is credited at the Golf Club of Coldwater and the Foundation Discount Golf Center)
Total Amount Enclosed ____________
Method of Payment
Credit Card (please mark the type)
□ MasterCard
□ American Express
□ Visa
□ Discover
Credit Card Number: _______________________________
Expiration Date: _____/____ V-Code: _______________
(Last 3 digits on signature strip)
Card Holder’s Signature: _______________________
Check or Money Order –
Make Payable to Golf Club of Coldwater.
Return to:
Golf Club of Coldwater
270 Narrows Road
Coldwater, MI 49036
Phone: (517) 279-2100
Email: info@golfclubofcoldwater.com
www. golfclubofcoldwater.com
Thank you!
We look forward to being a part of your 2008 and 2009
golf season at the beautiful Golf Club of Coldwater.
If you if you are interested in a Driving Range Punch Card, Please visit the Pro Shop or the Foundation Golf Center
