PERSONAL INFORMATION First Name ____________________Last_____________________ Address _______________________________________________ City _____________________ St_____ Zip ___________________ Cell Phone ____________________________________________ Email ________________________________________________ DOB _________________________________________________ Spouse ( If joining as a Couple ) First Name ____________________Last_____________________ Cell Phone ____________________________________________ Email ________________________________________________ DOB _________________________________________________
____ I am single. $3,500 fee ____ We are a Couple $5,000 fee Summer fee includes an 18 hole cart per day. Additional rounds are subject to additional cart fees Service Fee Each summer member must pay a $200 service fee. This replaces the 20% gratuity on all food and beverage. Total Due for a Single is $3959.00 with the application Total Due for a Couple is $5778.00 with the application The summer season runs from May 15th to October 31st. **************************************************** Make check payable to : Lost City GC 301 Orange Tree Dr. Atlantis FL 33462 Those summer members wishing to join the club as a permanent member come November, are eligible this year for a $5,000 credit off the initiation fee
The privileges and conduct of each member is governed by the Club’s By-laws, Policies and Rules and Regulations, as they may be amended from time to time. This includes the following: 1. Members are liable for all annual dues, fees, and charges as of
November 1st of each calendar year.
1. While dues can be billed monthly, member agrees to pay all
dues, fees & charges for the entire year.
1. Membership dues, fees and charges are not refundable or
transferable.
1. As a member, pictures or video may be used for promotional
materials in which any member may appear. I agree to have my picture used for such purposes.
1. I agree to have my credit report and/or background report
pulled for review.
I have read the conditions above and if accepted for membership, agree to abide by them.
_____________________________________________________________ Signature Date _____________________________________________________________ Signature Date