Application Member

Application for Membership

Professional

Jeff Hilbert P.G.A.

James P. Lipkowitz P.G.A.

Grand Ledge Country Club

5811 E St Joe Hwy

Grand Ledge, Mich. 48837

Phone 517-627-2495

Name - Last

First

Spouse

Address

City

State

Zip

Phone No. Home

Phone No. Work

E-Mail Address

Where Employed

Recommended By

Names of Children & Age . ..........

1st

2nd

3rd

4th

5th

Golf Handicap Service for

Family Membership

$1075.00

Family

Married Couples Membership

$975.00

Couples

Pick one of the Options.

Single Membership

$700.00

Single

(New) Single Membership With Cart

$1025.00

Single

Application Date

Please Print application and bring it in to the pro shop or drop in the mail or you can email it to me
lipkowitz1@frontier.com
Thanks Jim