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2014 Membership Application

141 US Highway 202 Leeds, ME 04263 Tel. (207) 946-5900 E-mail: sprgbrk18@aol.com



   
   Name:____________________________________________________________________

   Address:______________________ City/Town/State/Zip:______________________

   Telephone:____________________ E-mail (optional):________________________

   Birthdate (Junior Applicants only):______________________________________
      
            All full memberships include FREE Driving Range 
             Privileges and GHIN Handicap Service!

PLEASE CIRCLE CHOICE: Family** (Up to and including age 18*) $1295.00 Husband and Wife**/2-Person Family** $1159.00 Individual** $ 850.00 Junior (Ages 13-18*) $ 350.00 **Members' children and grandchildren under age 13-no charge to play or hit range balls-must play with adult member and tee time restriction may apply. *includes full-time college students up to age 23 Mini-Membership (includes 25% Discount on Greens Fees, GHIN Handicap, and Free Round) $200.00 Seasonal Cart Rentals: Individual $625.00/Husband & Wife $925.00 (if paid in full by 6/1/14) If you are interested in a Family Membership, please list family members' names (including children's ages) below: Memberships are due and payable by May 1st. After this date, unpaid balances will be subject to a Finance Charge of 1 1/2% per month. This is an ANNUAL PERCENTAGE RATE of 18%. We do not pro-rate memberships and all memberships are non-refundable. Checks may be made payable to: Good-Hamel, Inc. or Springbrook Golf Club.

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