2023 SPECIAL membership form

For use by 2022 Members renewing by April 1st. FORMS AND PAYMENT MUST BE RECEIVED BY APRIL 1, 2022.  (These Special Rates will only be offered until April 1st.)

Please complete the form below and submit to RENEW & PAY for your 2023 Membership.
If possible, please complete your payment with one transaction. Some members, especially those renewing "Couples" memberships, may be limited by their banks to a daily Interac limit which may be less than the full renewal fee, and complete payment will require two transactions. The online membership renewal process is not complete until full payment is received.

If you do not wish to complete your Membership Renewal using this online form with the online payment option, please CLICK HERE to download and print the 2023 Special Rates Membership form. Once completed please mail with payment to the Picton Golf & Country Club, Box 6170 Picton ON K0K 2T0, or take in person to the Pro Shop once it opens for the season mid-March. You may also utilize the e-Transfer/Interac payment option with the printed form. Mail or drop off the completed form and transfer your funds within 24 hours. Send fund transfers to payment@pictongolf.ca. NOTE: no password set up is required for this transaction to be received. Funds must be received by April 1st, 2022.

Please note, the payment Installment Plan is not available with online payment. Post dated cheques must be submitted to the Pro Shop by April 1st, along with a completed Membership Renewal form.

IMPORTANT NOTE: If you are purchasing this membership as a gift for someone else, please use your own email address in the field below. This will ensure the confirmation email is sent to you and not to the recipient. Once the gift has been given, please provide us with the member's correct email address so that we may finalize their profile and send them the Welcome Letter. If you would like us to forward a "Membership Announcement Gift Letter" to you to give to the member, please check the appropriate box below.
 

If this Membership is a gift, please let us know if you would like a "Membership Announcement Gift Letter" emailed to you

This Membership is a gift for the person(s) noted below

YES please send the Membership Announcement Gift Letter

NO not reqiuired

First Name*

Last Name*

Address*

Address 2

City*

State/Province*

Zip/Postal Code*

Email Address*

Phone*

Birthday

Month Day Year

MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day01020304050607080910111213141516171819202122232425262728293031 Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923

Gender*

Male

Female

Couple Members: (additional information for partner residing in the same household)

Name

Gender

Male

Female

Phone

Email

Birthday: (Click on the pop-up calendar to select month and date, then highlight and edit year)

Family Members: (Children 18 and under receive 50% discount if parents/grandparents are current members.)

Child #1 Name

Child #1 Gender

Male

Female

Child #1 Email

Child #1 Birthday: (Click on the pop-up calendar to select month and date, then highlight and edit year)

---

Child #2 Name

Child #2 Gender

Male

Female

Child #2 Email

Child #2 Birthday: (Click on the pop-up calendar to select month and date, then highlight and edit year)

---

Child #3 Name

Child #3 Gender

Child #3 Email

Child #3 Birthday

Membership Category: All plans include Golf Canada/Golf Ontario membership

COUPLE - Full (unrestricted play - 7 days a week)

$2,969.00 Quantity

ADULT - Full (unrestricted play - 7 days a week)

$1,649.00 Quantity

ADULT - Afternoon (after 1pm)

$1,339.00 Quantity

ADULT - 9 Hole (Membership Restriction: 1x 9 hole round per day)

$929.00 Quantity

INTERMEDIATE (Ages 26 - 40 as of April 1)

$1,049.00 Quantity

YOUNG ADULT (Ages 19 - 25 as of April 1)

$649.00 Quantity

JUNIOR (Ages 11 - 18 as of April 1)

$459.00 Quantity

FAMILY DISCOUNT: 50% off JUNIOR RATE if a Parent or Grandparent is a member.

$-229.50 Quantity

JUNIOR LEARNER (Age 10 & under as of April 1)

$299.00 Quantity

FAMILY DISCOUNT: 50% off JUNIOR LEARNER RATE if Parent or Grandparent is a member.

$-149.50 Quantity

---

Options

Seasonal Locker Rental

$25.00 Quantity

Seasonal Club Storage (based on availability)

$49.00 Quantity

Electric Pull Cart charging

$42.00 Quantity

Member Owned Gas Cart (existing "Grandfathered" carts only)

$399.00 Quantity

Member Owned Electric Cart (existing "Grandfathered" carts only)

$479.00 Quantity

---

Cart Lease: Per ride/per seat. 50/30/10 cart packs may be shared between household members

Seasonal - Unlimited Use

$750.00 Quantity

50 Rounds

$640.00 Quantity

30 Rounds

$410.00 Quantity

10 Rounds

$145.00 Quantity

50 Rounds - 9 Hole

$455.00 Quantity

30 Rounds - 9 Hole

$289.00 Quantity

10 Rounds - 9 Hole

$103.00 Quantity

CLASS "B" DEBENTURE. Picton Golf & Country Club is a member-operated, not-for-profit Corporation. Ownership of a Class "B" Debenture gives full voting privileges in the Corporation, is mandatory for all Adult & Intermediate Members and is a one-time purchase. If you held a Debenture in the previous year, it remains active. (Ownership of a Class "B" Debenture is recommended but not mandatory for Young Adult members.)

Purchase of Class "B" Debenture

$100.00 Quantity

Terms and Conditions of Membership: Please click to read the Terms and Conditions.

As a member of Picton Golf & Country Club, I agree to comply with all current rules & regulations of the Club, and to pay the applicable fees as indicated. I have read, acknowledge, and agree to all of Terms and Conditions of Membership. *

Yes

By submitting this form, you agree to meet the payment obligations associated with this contract. If you have chosen the credit card payment option, you authorize the use of your credit card for the payment of your selected items.

Payment Type

Credit Card Interac / e-Transfer

HST

Total

Enter the code displayed*