Cottonwood Golf Club

Membership Form - 2010

Name_________________________________________________________________________________

Mailing Address_________________________________________________________________________

Phone (____)________________________

Fee Schedule

    Before April 15th                          After April 15th

        Student                                  $75.00                                    Student                              $75.00

        Senior Member (60+)           $195.00                                   Senior Member (60+)        $220.00

       Senior & Spouse (60+)         $300.00                                    Senior & Spouse (60+)      $325.00

       Single                                    $235.00                                    Single                                 $260.00

       Single & Spouse                    $340.00                                    Single & Spouse                 $365.00

       Family                                   $410.00                                    Family                                 $435.00

      College Student                     $145.00                                   College Student                  $170.00

                                  PLEASE LIST FAMILY MEMBER NAMES

                               _________________________________

                               _________________________________

ADDITIONAL FEES                       COST

Golf Cart Trail Fee                                               $100/Yearly

Course Handicap Fee (Optional)                         $15 ($20 After April 15th)

 Handicaps Needed For: ________________________________

Golf Cart Users (Limit Two Families per Cart):

___________________________________________

___________________________________________

(Please Note:  Children must be 16 years of age to operate a cart on the course)                              

                                                                             Membership Fee(s) ___________________

                                                                             Trail Fees ___________________________

                                                                             Handicap Fee(s) ______________________

                                                                       TOTAL FEES - 2009 _____________

Please make checks payable to:  Cottonwood Golf Club, PO Box 806, Casselton, ND 58012