66 Park Road
Chelmsford, MA
01824
Tel: (978)
256-1818
Fax: (978) 256-0005
www.sterlinggolf.com
2012 MEMBERSHIP APPLICATION
Street ______________________________ City __________________ State ____ Zip _________
E-Mail Address __________________________________
Please check type of Membership:
r Individual $ 900 r Sr. Citizen Individual* $ 765
r Family $ 1,400 r Sr. Citizen Family* $ 1,130
r Junior $ 315 r Limited Mon - Fri $ 570
r Student $ 415 r Limited Mon - Sat (New!) $ 650
(SENIOR CITIZENS must be 62 years and older)
INDIVIDUAL & SENIOR CITIZEN INDIVIDUAL allows unlimited golf 7 days a week.
FAMILY allows unlimited golf and includes two individual memberships, and free children!!
SENIOR CITIZEN FAMILY includes one member 62 or older and a spouse over 60 years of age.
LIMITED Mon-Fri
allows unlimited golf Mon-Fri,
excluding holidays. LIMITED Mon-Sat allows unlimited
golf Mon-Sat, excluding holidays.
JUNIOR
memberships are available to current High School Students 18 years old and
under.
STUDENT
memberships are available to individuals 18
to 22 years old with a College Student I.D. card.
Juniors' and Students' tee times on weekends
and holidays are restricted until after 12:00 p.m.
The regular weekend greens fee rate will be charged for play before 12:00 noon.
*Birthdate(s) for Senior or Junior Membership(s) _____________________________________
*Junior Membership Names and Ages ______________________________________________
*Family Membership Name of Spouse _________________________________________
Please make checks
payable to Chelmsford Country Club and send with this form to:
Chelmsford Country Club, 66 Park Rd., Chelmsford, MA 01824
Signature
________________________________ Date ___________________________
Membership type __________________________________ Amount $_______________
rNew Member?* rReferral?* ______________________________________________________
*Receive a $50 Gift Card when you bring in a new member or if you are the new
member who was referred.
Please write in the name of the new member you referred or the member who
brought you in.