Call us at 574-533-1925

 

MCC Membership Application

MCC Membership Application

Interests

Personal Information

Name
Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Children
Name
Birth Date
 

Employer Information

Employer's Address

Contact to authorize business changes

Name

New business member must complete all personal information on application. A $100.00 business transfer fee will be applied to business member account. Business membership statements are mailed to the business.

Transfer business membership from:
MM slash DD slash YYYY
MM slash DD slash YYYY

Payment Options

Member Dues

Membership dues are a member's annual payment toward the operating cost of MCC and paying dues monthly is a convenience only. Upon acceptance into the club you are responsible for the entire year's dues. If you terminate your membership before payment of annual dues, the entire balance of the dues is immediately due and payable.
All applications and changes are subject to approval by the Board. Club membership includes applicant's immediate family members. The facilities of the Club will be available to the applicant upon Board approval as well as all paperwork signed and payment of all fees.Upon signing this application I agree to all terms with Maplecrest Country Club.

Signature

Upon Board approval of my/our application I/we hereby signify by my/our signature as members to abide by and observe MCC by-laws,rules and policies set by the Board of Directors.

Sponsor's Name