2019 new member form (with payment)

Please complete the form below and submit with payment for your 2019 New Membership.
If possible, please complete your payment with one transaction. Some new members, especially those joining with "Couples" memberships, may be limited by their banks to a daily Interac limit which may be less than the full membership fee, and complete payment will require two transactions.
The online membership process is not complete until full payment is received.

If you do not wish to complete your New Membership using this online form with the online payment option, please CLICK HERE to download and print the 2019 New Membership form. Once completed please mail with payment to Picton Golf & Country Club, Box 6170 Picton ON K0K 2T0, or take in person to the Pro Shop on or after March 18, 2019.

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 New Membership form.
 

First Name*

Last Name*

Address*

Address 2

City*

State/Province*

Zip/Postal Code*

Country

Email Address*

Phone*

Birthday

Month Day Year

MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day01020304050607080910111213141516171819202122232425262728293031 Year20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919

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)

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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)

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Child #3 Name

Child #3 Gender

Child #3 Email

Child #3 Birthday

Membership Category: All plans include Golf Ontario membership

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

$2,758.00 Quantity

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

$1,479.00 Quantity

ADULT - Afternoon (after 1pm)

$1,149.00 Quantity

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

$849.00 Quantity

INTERMEDIATE (Ages 26 - 40 as of April 1)

$869.00 Quantity

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

$439.00 Quantity

JUNIOR (Ages 11 - 18 as of April 1)

$399.00 Quantity

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

$-199.50 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

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Options

Seasonal Locker Rental

$25.00 Quantity

Seasonal Club Storage (based on availability)

$40.00 Quantity

Electric Pull Cart charging

$42.00 Quantity

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Cart Leases: Per rider/non-transferable. Additional packages/rounds can be purchased at members' special rates

Seasonal - Unlimited Use

$725.00 Quantity

50 Rounds

$590.00 Quantity

30 Rounds

$375.00 Quantity

10 Rounds

$140.00 Quantity

50 Rounds - 9 Hole

$360.00 Quantity

30 Rounds - 9 Hole

$235.00 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 Members and is a one-time purchase. (Ownership of a Class "B" Debenture is recommended but not mandatory for Intermediate and 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 the terms and conditions set out in the Rules and Regulations of said Club, and to pay the applicable fees as indicated. I have read this Agreement and acknowledge and agree to all of the Terms and Conditions. *

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*