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I wish to join the following club/cluster:    
I wish to join under the following membership category:  
Add a Performance Center Membership to my Canongate Membership: Single ($25 / month)   Family ($40 / month)
I submit the following information for confidential consideration for membership: 
Social Security #:     Driver's License #: 
Name: Birthdate:
Spouse's Name:Birthdate:
Children:Sex:Birthdate:
 Sex:Birthdate:
 Sex:Birthdate:
Home Address:
City: State: Zip Code:
Home Phone: Cell Phone:
E-mail Address: Spouse E-mail:
Billing Address:
(if different)
City: State: Zip Code:
Employed By:
Position: Business Phone:
Credit Card Type: Visa Mastercard AMEX Discover
Credit Card Number: Expiration Date:  / 
I would like to charge my entry fee into the club using the above credit card. Amount to Charge:
Signature:Date:6/14/2026
10. Would you or anyone in your family like more information about the following?
Check all that apply. A staff member or association leader will contact you via phone or email with additional information.
Adult Golf Lessons
Junior Golf Lessons
Custom Golf Club Fitting
Getting a USGA Handicap 		Men's Golf Association*
Ladies Golf Association*
Couples Golf Association*
Singles Golf Association*
Seniors Golf Association* 		Adult Tennis**
Junior Tennis**
Adult Social Programs
Family Programming
* Associations vary by club/cluster. Not all are available at each club/cluster.
** Where available.





 
 
 
 
      
     		 
 

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