Mem Appl

Evergreen Golf Course
463 Wolfe Lake Rd. R.R.2
Westport, ON KOG1XO
613.273.6463
golf@evergreengolfcourse.com

Membership Application Form 2017 (Mandatory Fields are marked*)

Name *

First

Last

Address *

DOB: *

Phone Number *

at *

Other Number *

at *

Email *

Membership Fees *

Rental Options... *

Pull Cart Season Rental $50 Locker/Club Storage Season Rental $50 Power Cart Season Trail Fee $300 Seasonal Power Cart $675

Authorized Drivers of Power Cart Options *

Submit